Scott D Eriksen (NPI# 1346611704, PAC ID# 0547560864) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1346611704 |
| PAC ID by PECOS | 0547560864 |
| Professional Enrollment ID | I20151118001123 |
| Full Name | Scott D Eriksen |
| Organization Legal Name | BEACON MEDICAL GROUP INC |
| Address |
206 W Warren St Beacon Medical Group Middlebury Middlebury IN 46540-9410 |
| Phone Number | 5748252146 |
| Gender | M |
| Graduation Year | 2015 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 1254243306 |
| Number of Group Practice Members | 331 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 150018 | ELKHART GENERAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 206 W Warren St, Beacon Medical Group Middlebury, Middlebury, IN 46540-9410 | 5748252146 | BEACON MEDICAL GROUP INC |
| Organization Legal Name | BEACON MEDICAL GROUP INC |
| Physicians | 364 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nizar Fayez Olabi | Obstetrics/gynecology | Beacon Medical Group Inc | 1215 Lawn Ave, Suite 100, Elkhart, IN 46514-2450 |
| Mayank K Mittal | Interventional Cardiology | Beacon Medical Group Inc | 610 N Michigan St, 400 Bmg Adv Cardiology Specialists, South Bend, IN 46601-1081 |
| John A Whitney | Family Medicine | Beacon Medical Group Inc | 2235 Cleveland Rd, South Bend, IN 46628-3529 |
| Nicholas H Kerr | Hospice/palliative Care | Beacon Medical Group Inc | 1753 Fulton St, Elkhart, IN 46514-1927 |
| Amanda L Springer | Family Medicine | Beacon Medical Group Inc | 1815 E Ireland Rd, Beacon Medical Group Ireland Rd, South Bend, IN 46614-2845 |
| Oluyinka G Osunnuga | Nurse Practitioner | Beacon Medical Group Inc | 5314 Lincolnway E, Bmg Specialties Mishawaka, Mishawaka, IN 46544-4249 |
| Lana L Evans | Nurse Practitioner | Beacon Medical Group Inc | 207 N Elkhart St, Beacon Medical Group Wakarusa, Wakarusa, IN 46573-9729 |
| Lindsey Danielle Lira | Family Medicine | Beacon Medical Group Inc | 27082 Main St, Edwardsburg, MI 49112-9334 |
| Mercedes D Moran | Certified Nurse Midwife | Beacon Medical Group Inc | 813 S Michigan St, Memorial Neighborhood Health Center, South Bend, IN 46601-3102 |
| Beth A Hayden | Nurse Practitioner | Beacon Medical Group Inc | 900 I St, La Porte, IN 46350-5533 |
| Street Address |
206 W WARREN ST BEACON MEDICAL GROUP MIDDLEBURY |
| City | MIDDLEBURY |
| State | IN |
| Zip | 46540-9410 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anna Kathryn Kragt | Family Medicine | Beacon Medical Group Inc | 206 W Warren St, Beacon Medical Group Middlebury, Middlebury, IN 46540-9410 |
| Rachel E Dunham | Family Practice | Beacon Medical Group Inc | 206 W Warren St, Beacon Medical Group Middlebury, Middlebury, IN 46540-9410 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Craig M Enright | Physical Therapy | Orthopedic and Sports Medicine Center of Northern Indiana, Inc. | 54938 State Rd, Suite 13, Middlebury, IN 46540-8608 |
| Jaime R Applegate | Physical Therapy | Orthopedic and Sports Medicine Center of Northern Indiana, Inc. | 54938 State Rd, Suite 13, Middlebury, IN 46540-8608 |
| David R Fenwick | Optometry | 424 N Main St, Suite 4, Middlebury, IN 46540-8988 | |
| Amy Hoffman | Nurse Practitioner | Goshen Health System Inc | 226 W Us Hwy 20, Middlebury, IN 46540-9713 |
| Deborah Carol Nethercutt | Nurse Practitioner | Goshen Health System Inc | 226 W Us Hwy 20, Middlebury, IN 46540-9713 |
| Alyssa Cripe | Nurse Practitioner | Goshen Health System Inc | 226 W Us Hwy 20, Middlebury, IN 46540-9713 |
| City | MIDDLEBURY |
| Zip Code | 46540 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | MIDDLEBURY + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Scott D Eriksen.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.