| Dr Benjamin Mark Faustich, MD | |
|
2000 North Ave, Northfield, MN 55057-1498 | |
| (507) 646-1000 | |
| Not Available |
| Full Name | Dr Benjamin Mark Faustich |
|---|---|
| Gender | Male |
| Speciality | Obstetrics/gynecology |
| Experience | 15 Years |
| Location | 2000 North Ave, Northfield, Minnesota |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699092916 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 71598-20 (Wisconsin) | Primary |
| 207V00000X | Obstetrics & Gynecology | 58019 (Minnesota) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lake Region Healthcare Corporation | 3971565334 | 124 |
| Gundersen Clinic Ltd | 9638082779 | 345 |
| Entity Name | Mayo Clinic Health System-southeast Minnesota Region |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891701637 PECOS PAC ID: 4385556703 Enrollment ID: O20031104000408 |
| Entity Name | Mayo Clinic Health System-southwest Minnesota Region |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578545422 PECOS PAC ID: 4688585771 Enrollment ID: O20031110000134 |
| Entity Name | Northfield Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417990805 PECOS PAC ID: 2567372998 Enrollment ID: O20031117000052 |
| Entity Name | Unity Family Healthcare |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326234006 PECOS PAC ID: 9830003516 Enrollment ID: O20031117000732 |
| Entity Name | Mayo Clinic Health System-fairmont |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366410862 PECOS PAC ID: 4981694981 Enrollment ID: O20040719000142 |
| Entity Name | Lake Region Healthcare Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093713372 PECOS PAC ID: 3971565334 Enrollment ID: O20060109000246 |
| Entity Name | Unity Family Healthcare |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1780630939 PECOS PAC ID: 9830003516 Enrollment ID: O20061104000248 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Benjamin Mark Faustich, MD 6521 Ridgeview Dr, Edina, MN 55439-1234 Ph: (920) 202-1428 | Dr Benjamin Mark Faustich, MD 2000 North Ave, Northfield, MN 55057-1498 Ph: (507) 646-1000 |
Cristina Marie Gonzalez-mendez, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2000 North Ave, Northfield, MN 55057 Phone: 507-646-1000 | |
Dr. Shannon Theresa Lau, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2000 North Ave, Northfield, MN 55057 Phone: 507-646-1000 | |
Melanie H. Dixon, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2000 North Ave, Northfield, MN 55057 Phone: 507-646-1478 Fax: 507-646-1393 | |
Ann Kathryn Friedmann, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 2000 North Ave, Northfield, MN 55057 Phone: 507-646-1478 Fax: 507-646-1393 | |
Deborah Lee Suppes, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2000 North Ave, Northfield, MN 55057 Phone: 507-646-1478 Fax: 507-646-1393 | |
Dr. Ngoc Bich Vu, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2000 North Ave, Northfield, MN 55057 Phone: 507-646-1478 |