Mrs Ericka Dawn Southwick, APN in La Junta, CO

Mrs Ericka Dawn Southwick, APN is a medicare enrolled "Nurse Practitioner - Family" in La Junta, Colorado. Her current practice location is 1100 Carson Ave, La Junta, Colorado. You can reach out to her office (for appointments etc.) via phone at (719) 384-5412.

Mrs Ericka Dawn Southwick is licensed to practice in Colorado (license number APN.0999916-NP) 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 1730925421.

Contact Information

	Mrs Ericka Dawn Southwick, APN
	1100 Carson Ave, La Junta, CO 81050-2751
	(719) 384-5412
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Ericka Dawn Southwick
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1100 Carson Ave, La Junta, Colorado
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1730925421
Provider Enumeration Date: 07/02/2024
Last Update Date: 10/23/2024

Medicare PECOS Information:

PECOS PAC ID: 2466984364
Enrollment ID: I20241107000127

Medical Identifiers

Medical identifiers for Mrs Ericka Dawn Southwick such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1730925421	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	APN.0999916-NP (Colorado)	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. Mrs Ericka Dawn Southwick allows following entities to bill medicare on her behalf.

Entity Name	Arkansas Valley Regional Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649449075 PECOS PAC ID: 9436062833 Enrollment ID: O20031111000685

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. Mrs Ericka Dawn Southwick 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
Mrs Ericka Dawn Southwick, APN 1100 Carson Ave, La Junta, CO 81050-2751 Ph: (719) 384-5412	Mrs Ericka Dawn Southwick, APN 1100 Carson Ave, La Junta, CO 81050-2751 Ph: (719) 384-5412

Reviews and Comments

Nurse Practitioner Nurses in La Junta, CO

Ms. Veronica Ethel Bartlett, FNP, MS-RN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2215 San Juan Ave, La Junta, CO 81050 Phone: 719-383-0445 Fax: 719-383-0448
Jessica Ojeda, ACNPC-AG Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1100 Carson Ave Suite 201, La Junta, CO 81050 Phone: 719-383-5906 Fax: 719-383-5928
Jill Hollar, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1012 Belmont Ave, La Junta, CO 81050 Phone: 719-383-5900 Fax: 719-383-6533
Ron Peterson, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1100 Carson Ave, Suite 201, La Junta, CO 81050 Phone: 719-383-5900 Fax: 719-383-6533
Cheyenne Shipman, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1206 E 3rd St, La Junta, CO 81050 Phone: 719-413-5261
Missouri Krantz, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2215 San Juan Ave, La Junta, CO 81050 Phone: 719-363-1533 Fax: 719-363-1534
Kristopher Michael Love, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1100 Carson Ave, La Junta, CO 81050 Phone: 719-384-5412

Mrs Ericka Dawn Southwick, APN - Medicare Nurse Practitioner in La Junta, CO