Erin R Dahlke, M.D.
Individual provider Active NPI Family Medicine Physician · Glenwood, MN
NPI 1700028693 · NPPES record last updated Jan 15, 2015
Key facts
- NPI
- 1700028693
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 55479 (MN)
- Practice address
- 10 4TH Ave SE
Glenwood, MN 56334-1820 - Phone
- (320) 634-5157
- Fax
- (320) 634-2244
- NPI assigned
- Mar 24, 2009
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 8
Medicare Care Compare profile
- Specialty
- General Practice
- Education
- University of Minnesota Medical School, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Glacial Ridge Hospital District
Practice addresses (Care Compare)
10 4TH Ave SE
Glenwood, MN 56334-1820
Phone (320) 634-4521
Hospital & facility affiliations
- Glacial Ridge Hospital
- Alomere Health
- Centracare - St. Cloud Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20141203002729 | MN | Practitioner - General Practice | 2264754167 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Glacial Ridge Hospital District | Current |
Accepting new patients | |
| Glacial Ridge Hospital District | Family Medicine | Current | Accepting new patients |
| Glacial Ridge Hospital District | Family Medicine | Past | Accepting new patients |
| Glacial Ridge Hospital District | Past | Accepting new patients |
Locations
10 4th Ave SE
Glenwood, MN 56334
Phone (320) 634-5157
417 Franklin St S
Glenwood, MN 56334
Phone (320) 634-5157
Interoperability endpoints
- https://fhir-usa.unify.chbase.com/org/glac-1755385c
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 55479 | MN | Yes |
Addresses
Primary practice location
10 4TH Ave SE
Glenwood, MN 56334-1820
Mailing address
10 4TH Ave SE
Glenwood, MN 56334-1820
Phone (320) 634-5157
Other names
- Erin R Telste
Other providers in Glenwood, MN
- Lisa Bonk
- Sharon Lynn Braaten
- Cassandra Brix
- Roderick Benjamin Brown
- Dana Lyn Citrowske Lee
- Micala Sue Danielson
- Craig D Dejong
- Dental Health Services Minnewaska PLLC
- Michael David Flaten
- Tanya Freske
All providers in Glenwood, MN · Family Medicine Physician in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 15, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.