Erica L Hertzog, PHN in Wayzata, MN - Medicare Nurse Practitioner

Erica L Hertzog, PHN is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Wayzata, Minnesota. Her current practice location is 1120 Wayzata Blvd E Ste 210, Wayzata, Minnesota. You can reach out to her office (for appointments etc.) via phone at (320) 864-1236.

Erica L Hertzog is licensed to practice in Minnesota (license number 9957) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1942704895.

Contact Information

	Erica L Hertzog, PHN
	1120 Wayzata Blvd E Ste 210, Wayzata, MN 55391-1915
	(320) 864-1236
	Not Available

Map and Direction

Provider's Profile

Full Name	Erica L Hertzog
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	1120 Wayzata Blvd E Ste 210, Wayzata, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1942704895
Provider Enumeration Date: 03/23/2018
Last Update Date: 03/09/2023

Medicare PECOS Information:

PECOS PAC ID: 3072988500
Enrollment ID: I20230413002456

Medical Identifiers

Medical identifiers for Erica L Hertzog such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1942704895	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WC1500X	Registered Nurse - Community Health	R-186114-1 (Minnesota)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	9957 (Minnesota)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Erica L Hertzog allows following entities to bill medicare on her behalf.

Entity Name	Portages Health Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942945761 PECOS PAC ID: 6800269861 Enrollment ID: O20230222002907

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Erica L Hertzog is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Erica L Hertzog, PHN 1120 Wayzata Blvd E Ste 210, Wayzata, MN 55391-1915 Ph: (952) 443-4600	Erica L Hertzog, PHN 1120 Wayzata Blvd E Ste 210, Wayzata, MN 55391-1915 Ph: (320) 864-1236

Reviews and Comments

Nurse Practitioner Nurses in Wayzata, MN

Andrea Barnes, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1120 Wayzata Blvd E Ste 110, Wayzata, MN 55391 Phone: 952-222-7670
Melissa Mangan, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1120 Wayzata Blvd E Ste 110, Wayzata, MN 55391 Phone: 952-222-7670
Michelle Renee Jarman, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1120 Wayzata Blvd E Ste 210, Wayzata, MN 55391 Phone: 952-443-4600 Fax: 952-443-4604
Kari Garin, RN, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 100 Promenade Ave, Wayzata, MN 55391 Phone: 651-631-6361
Joanna Kay Rehm, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1161 Wayzata Blvd E # 162, Wayzata, MN 55391 Phone: 763-373-3856 Fax: 763-363-0333
Mary Christine Massaro, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1161 Wayzata Blvd E # 162, Wayzata, MN 55391 Phone: 763-373-3856 Fax: 763-363-0333
Mrs. Kristina Clare Friedrichs, APRN AGNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 317 Wayzata Blvd E, Wayzata, MN 55391 Phone: 952-473-1111

Erica L Hertzog, PHN - Medicare Nurse Practitioner in Wayzata, MN