| Berkley A Erickson, CNP | |
|
513 3rd St Sw, Wagner, SD 57380-9675 | |
| (605) 384-3611 | |
| (605) 384-5240 |
| Full Name | Berkley A Erickson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 513 3rd St Sw, Wagner, South Dakota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619582699 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | CP001845 (South Dakota) | Primary |
| Entity Name | Wagner Community Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740306992 PECOS PAC ID: 3577459700 Enrollment ID: O20040225000391 |
| Mailing Address | Practice Location Address |
|---|---|
| Berkley A Erickson, CNP Po Box 280, Wagner, SD 57380-0280 Ph: (605) 384-3611 | Berkley A Erickson, CNP 513 3rd St Sw, Wagner, SD 57380-9675 Ph: (605) 384-3611 |
Lindsey Nedved, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 513 3rd St Sw, Wagner, SD 57380 Phone: 605-384-3611 | |
Carol Lee Stewart, DNP, APRN, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 513 3rd Street Sw, Wagner, SD 57380 Phone: 605-384-3611 | |
Ashley Marie Ruhaak, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 513 3rd St Sw, Wagner, SD 57380 Phone: 605-384-3611 | |
Jazmyn Soukup, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 513 3rd St Sw, Wagner, SD 57380 Phone: 605-384-3611 | |
Jessica M Vanderham, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 513 3rd St Sw, Wagner, SD 57380 Phone: 605-384-3611 | |
Brooke Lynn Plooster, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 513 3rd St Sw, Wagner, SD 57380 Phone: 605-384-3611 Fax: 605-384-5240 | |
Ryan Kocer, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 513 3rd St Sw, Wagner, SD 57380 Phone: 605-384-3611 |