| Ivy L Erickson, PA-C | |
|
191 Theater Rd, Onalaska, WI 54650 | |
| (608) 785-0940 | |
| Not Available |
| Full Name | Ivy L Erickson |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 14 Years |
| Location | 191 Theater Rd, Onalaska, Wisconsin |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205184025 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 002336 (Iowa) | Secondary |
| 363A00000X | Physician Assistant | 2923-23 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mayo Clinic Health System In La Crosse | La crosse, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mayo Clinic Health System-southwest Wisconsin Region Inc | 0345152443 | 539 |
| Entity Name | Mayo Clinic Health System-southwest Wisconsin Region Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629056049 PECOS PAC ID: 0345152443 Enrollment ID: O20031110000684 |
| Mailing Address | Practice Location Address |
|---|---|
| Ivy L Erickson, PA-C Po Box 860912, Provider Enrollment - Rst, Minneapolis, MN 55486-0912 Ph: (507) 284-2511 | Ivy L Erickson, PA-C 191 Theater Rd, Onalaska, WI 54650 Ph: (608) 785-0940 |
Elizabeth Twite, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2727 Midwest Dr, Onalaska, WI 54650 Phone: 608-782-2027 Fax: 608-782-6172 |
Katie Lyn Beahm, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 191 Theater Rd, Onalaska, WI 54650 Phone: 608-785-0940 |
Leo Matthew Pedretti, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3111 Gundersen Dr, Onalaska, WI 54650 Phone: 608-775-8100 |
Mary E. Duh, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 191 Theater Rd, Onalaska, WI 54650 Phone: 608-392-5000 |
James L Tomlin, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3111 Gundersen Drive, Onalaska, WI 54650 Phone: 608-796-8630 |
Anna M Carnahan, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3111 Gundersen Dr, Onalaska, WI 54650 Phone: 608-775-8100 |
Emily Campbell, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3111 Gundersen Dr, Onalaska, WI 54650 Phone: 608-775-8100 |