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Mary W Ericksen

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NPI Number Detailed Information

Provider Information:

Name: Mary W Ericksen
Gender: F
Provider License Number If Given: 1087

NPI Information:

NPI: 1346218559
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 3/14/2006

Last Update Date: 3/16/2021

Provider Business Mailing Address:

Address: 8170 33RD AVE S
Minneapolis, MN 55425
Phone Number:
Fax Number:

Provider Business Practice Location Address:

Address: 1665 UTICA AVE S STE 100
Saint Louis Park, MN 55416
Phone Number: 9525412500
Fax Number: 9525412539

Provider Taxonomy:

Primary: 133V00000X
Secondary (if any):
State: MN

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About Mary W Ericksen

Mary W Ericksen ( MARY W ERICKSEN ) is A Dietitian, Registered Physician in Saint Louis Park, MN. The NPI Number for Mary W Ericksen is 1346218559.
The current location address for Mary W Ericksen is 1665 UTICA AVE S STE 100 Saint Louis Park, MN 55416 and the contact number is and fax number is . The mailing address for Mary W Ericksen is 8170 33RD AVE S Minneapolis, MN 55425- 9525412500 (mailing address contact number - ).
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

Provider Business Location on Map

FAQs:

What is the NPI Number for Mary W Ericksen ?


Answer: The NPI Number for Mary W Ericksen is 1346218559

Where is Mary W Ericksen located?


Answer: Mary W Ericksen is located at 1665 UTICA AVE S STE 100 Saint Louis Park, MN 55416.

What is the specialty for Mary W Ericksen ?


Answer: The Specialty of Mary W Ericksen is A Dietitian, Registered Physician.

Are there any online reviews for Mary W Ericksen ?


Answer: Not yet!

Are there any other health care providers in Saint Louis Park, MN?


Answer: Yes, there are given below...

Medicare Physician & Other Practitioners

Information on services and procedures provided to Original Medicare (fee-for-service) Part B (Medical Insurance) beneficiaries by Mary W Ericksen

Number of HCPCS 2
Number of Medicare Beneficiaries 12
Number of Services 39
Total Submitted Charge Amount 5222
Total Medicare Allowed Amount 1112.61
Total Medicare Payment Amount 1112.61
Total Medicare Standardized Payment Amount 1089.05
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services 0
Number of Medicare Beneficiaries With Drug Services 0
Number of Drug Services 0
Total Drug Submitted Charge Amount 0
Total Drug Medicare Allowed Amount 0
Total Drug Medicare Payment Amount 0
Total Drug Medicare Standardized Payment Amount 0
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services 2
Number of Medicare Beneficiaries With Medical 12
Number of Medical Services 39
Total Medical Submitted Charge Amount 5222
Total Medical Medicare Allowed Amount 1112.61
Total Medical Medicare Payment Amount 1112.61
Total Medical Medicare Standardized Payment Amount 1089.05
Average Age of Beneficiaries 73
Number of Beneficiaries Age Less 65
Number of Beneficiaries Age 65 to 74
Number of Beneficiaries Age 75 to 84
Number of Beneficiaries Age Greater 84
Number of Female Beneficiaries
Number of Male Beneficiaries
Number of Non-Hispanic White Beneficiaries
Number of Black or African American Beneficiaries 0
Number of Asian Pacific Islander Beneficiaries
Number of Hispanic Beneficiaries
Number of American Indian/Alaska Native Beneficiaries 0
Number of Beneficiaries With Race Not Elsewhere Classified 0
Number of Beneficiaries With Medicare & Medicaid Entitlement
Number of Beneficiaries With Medicare Only Entitlement
Percent (%) of Beneficiaries Identified With Atrial Fibrillation
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia
Percent (%) of Beneficiaries Identified With Asthma
Percent (%) of Beneficiaries Identified With Cancer
Percent (%) of Beneficiaries Identified With Heart Failure
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease
Percent (%) of Beneficiaries Identified With Depression
Percent (%) of Beneficiaries Identified With Diabetes 0.75
Percent (%) of Beneficiaries Identified With Hyperlipidemia
Percent (%) of Beneficiaries Identified With Hypertension
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease
Percent (%) of Beneficiaries Identified With Osteoporosis
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders
Percent (%) of Beneficiaries Identified With Stroke
Average HCC Risk Score of Beneficiaries 1.4888

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