Dr Loren Erickson, is a
Podiatrist - Foot & Ankle Surgery based in Saint Paul, Minnesota. Dr Loren Erickson is licensed to practice in Minnesota (license number 444) and his current practice location is
1600 University Ave W, Suite 19-c, Saint Paul, Minnesota. He can be reached at his office (for appointments etc.) via phone at
(651) 646-7084.
NPI number for Dr Loren Erickson is 1003885617 and his current mailing address is 1600 University Ave W, Suite 19-c, Saint Paul, Minnesota. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1003885617.
Healthcare Provider's Profile
| Full Name | Dr Loren Erickson |
|---|
| Gender | Male |
|---|
| Speciality | Podiatrist - Foot & Ankle Surgery |
|---|
| Location | 1600 University Ave W, Saint Paul, Minnesota |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1003885617
- Provider Enumeration Date: 03/16/2006
- Last Update Date: 11/14/2011
Medical Identifiers
Medical identifiers for Dr Loren Erickson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1003885617 | NPI | - | NPPES |
| 564025300 | Medicaid | MN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 183500000X | Pharmacist | 113462 (Minnesota) | Secondary |
| 213E00000X | Podiatrist | 444 (Minnesota) | Secondary |
| 213E00000X | Podiatrist | 759 (Missouri) | Secondary |
| 213EP1101X | Podiatrist - Primary Podiatric Medicine | 444 (Minnesota) | Secondary |
| 213ES0000X | Podiatrist - Sports Medicine | 444 (Minnesota) | Secondary |
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 444 (Minnesota) | Primary |
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 759 (Missouri) | Secondary |
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. Dr Loren Erickson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Loren Erickson,
1600 University Ave W, Suite 19-c,
Saint Paul, MN 55104-3898
Ph: (651) 646-7084 | Dr Loren Erickson,
1600 University Ave W, Suite 19-c,
Saint Paul, MN 55104-3898
Ph: (651) 646-7084 |
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