| Dr John K Erie, MD | |
|
3000 32nd Ave S, Fargo, ND 58103-6132 | |
| (701) 364-8000 | |
| (701) 364-8078 |
| Full Name | Dr John K Erie |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 38 Years |
| Location | 3000 32nd Ave S, Fargo, North Dakota |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336189539 | NPI | - | NPPES |
| 5700110 | Medicaid | SD | |
| 511493 | Medicaid | IA | |
| 179503100 | Medicaid | MN | |
| 0005830 | Other | SD | BLUE CROSS SD |
| 56P30ER | Other | MN | BLUE CROSS MN |
| 713966 | Medicaid | ND |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 4472 (South Dakota) | Secondary |
| 207L00000X | Anesthesiology | 6387 (North Dakota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Essentia Health St Marys - Detroit Lakes | Detroit lakes, MN | Hospital |
| Essentia Health | Fargo, ND | Hospital |
| Essentia Health Fosston | Fosston, MN | Hospital |
| Essentia Health Ada | Ada, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St Marys Regional Health Center | 2062326820 | 188 |
| Innovis Health Llc | 9931298155 | 567 |
| Entity Name | Graceville Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982673620 PECOS PAC ID: 4385556885 Enrollment ID: O20031103000694 |
| Entity Name | St Marys Regional Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679561088 PECOS PAC ID: 2062326820 Enrollment ID: O20031117000090 |
| Entity Name | First Care Medical Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073638565 PECOS PAC ID: 3678542842 Enrollment ID: O20040927000035 |
| Entity Name | Bridges Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366886186 PECOS PAC ID: 4981659851 Enrollment ID: O20050809000114 |
| Entity Name | Graceville Health Center |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1982673620 PECOS PAC ID: 4385556885 Enrollment ID: O20070301000230 |
| Entity Name | Innovis Health Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659617504 PECOS PAC ID: 9931298155 Enrollment ID: O20080115000831 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr John K Erie, MD Po Box 6001, Fargo, ND 58108-6001 Ph: (701) 364-3300 | Dr John K Erie, MD 3000 32nd Ave S, Fargo, ND 58103-6132 Ph: (701) 364-8000 |
Dr. Latif Sean Ougzin, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 3000 32nd Ave S, Fargo, ND 58103 Phone: 701-364-8000 Fax: 701-364-8078 | |
John V Vinych, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 3000 32nd Ave S, Fargo, ND 58103 Phone: 701-364-8000 Fax: 701-364-8078 | |
Patrick J. Indergaard, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 801 Broadway N, Fargo, ND 58102 Phone: 701-234-6258 Fax: 701-234-7334 | |
Shelby Suzanne Best, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3000 32nd Ave S, Fargo, ND 58103 Phone: 701-364-8000 | |
Layne Egan, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 5225 23rd Ave S, Fargo, ND 58104 Phone: 701-417-2575 | |
Alanna Velo, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 801 Broadway N, Fargo, ND 58102 Phone: 218-205-7365 | |
Dr. Eric Arash Pezhman, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 801 Broadway N, Fargo, ND 58102 Phone: 701-234-6355 |