| Erik Dean Sandstrom, MD | |
| 
					30 13th St, Havre, MT 59501-5222  | |
| (406) 265-2211 | |
| (406) 262-1615 | 
| Full Name | Erik Dean Sandstrom | 
|---|---|
| Gender | Male | 
| Speciality | Family Medicine | 
| Location | 30 13th St, Havre, Montana | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1962473173 | NPI | - | NPPES | 
| 100347630A | Medicaid | KS | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207Q00000X | Family Medicine | 04-27976 (Kansas) | Primary | 
| Entity Name | Northern Montana Hospital | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1427059070 PECOS PAC ID: 2264343912 Enrollment ID: O20031229000278  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Erik Dean Sandstrom, MD Po Box 1231, Havre, MT 59501-1231 Ph: (406) 265-2211  | Erik Dean Sandstrom, MD 30 13th St, Havre, MT 59501-5222 Ph: (406) 265-2211  | 
Jeffrey G Kraft, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 30 13th St, Havre, MT 59501 Phone: 406-265-2211 Fax: 406-265-1651  | |
Dr. Donald Sawdey, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 30 13th St, Havre, MT 59501 Phone: 406-265-2211  | |
Phil C. Mclain Iii, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 110 13th St, Havre, MT 59501 Phone: 406-265-4541 Fax: 406-265-2148  | |
Justin Shafer, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 30 13th St, Havre, MT 59501 Phone: 406-262-1419  | |
Dr. Bruce W Richardson, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 10505 River Rd, Havre, MT 59501 Phone: 406-754-2266  | |
Dr. Thomas D Booth, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 20 13th St W, Havre, MT 59501 Phone: 406-265-7831 Fax: 406-265-1651  | |
Douglas A Dightman, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1410 1st Ave, Havre, MT 59501 Phone: 406-265-5408  |