| Erik J Shelstad, MD, | |
|
1282 Walnut St, Dawson, MN 56232-2333 | |
| (320) 312-2118 | |
| (320) 769-4576 |
| Full Name | Erik J Shelstad |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 29 Years |
| Location | 1282 Walnut St, Dawson, Minnesota |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750389144 | NPI | - | NPPES |
| 295443500 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 45122 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Centracare Hospice | Willmar, MN | Hospice |
| Johnson Memorial Hospital And Home | Dawson, MN | Hospital |
| Ccm Health | Montevideo, MN | Hospital |
| Johnson Memorial Hospital & Home | Dawson, MN | Nursing home |
| Johnson Memorial Hospital | Dawson, MN | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Johnson Memorial Health Services | 5395653836 | 17 |
| Ccm Health | 4284539453 | 69 |
| Entity Name | Johnson Memorial Health Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770697260 PECOS PAC ID: 5395653836 Enrollment ID: O20031223000327 |
| Entity Name | Johnson Memorial Health Services |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1093745051 PECOS PAC ID: 5395653836 Enrollment ID: O20060504000935 |
| Mailing Address | Practice Location Address |
|---|---|
| Erik J Shelstad, MD, 1282 Walnut St, Dawson, MN 56232-2333 Ph: Not Available | Erik J Shelstad, MD, 1282 Walnut St, Dawson, MN 56232-2333 Ph: (320) 312-2118 |
Dr. Utpal U Chakravorty, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1282 Walnut St, Dawson, MN 56232 Phone: 320-312-2118 Fax: 320-769-2972 |
Dr. Ayaz Virji, M.D Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1282 Walnut St, Dawson, MN 56232 Phone: 320-769-4323 Fax: 320-769-2972 |