| 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 | 16 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 |
|---|---|---|
| Gundersen Clinic Ltd | 9638082779 | 442 |
| Entity Name | Gundersen Clinic Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851343115 PECOS PAC ID: 9638082779 Enrollment ID: O20031106000139 |
| Entity Name | Marshfield Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952347981 PECOS PAC ID: 2264345206 Enrollment ID: O20031106000590 |
| Entity Name | Beaver Dam Community Hospitals Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972188555 PECOS PAC ID: 2567370539 Enrollment ID: O20040210000666 |
| Entity Name | Memorial Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346239373 PECOS PAC ID: 2365433224 Enrollment ID: O20040519001426 |
| Entity Name | Flambeau Hospital, Inc. |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1700963048 PECOS PAC ID: 9032029871 Enrollment ID: O20070828000478 |
| Entity Name | Memorial Hospital Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1346239373 PECOS PAC ID: 2365433224 Enrollment ID: O20110526000807 |
| Entity Name | Mchs Hospitals Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093221434 PECOS PAC ID: 5698071173 Enrollment ID: O20180208000096 |
| Entity Name | Lakeview Medical Center Inc Of Rice Lake |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093201832 PECOS PAC ID: 6103737820 Enrollment ID: O20180817001484 |
| Entity Name | Mchs Hospitals Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1952890873 PECOS PAC ID: 5698071173 Enrollment ID: O20180904002962 |
| Entity Name | Flambeau Hospital, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194317966 PECOS PAC ID: 9032029871 Enrollment ID: O20210409000059 |
| 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 |