Dr Gary B Collins, MD | |
640 Jackson St.-ms 11502v, Healthpartners Regions Specialty Clinics, St. Paul, MN 55101-2502 | |
(651) 254-4870 | |
(651) 254-4870 |
Full Name | Dr Gary B Collins |
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Gender | Male |
Speciality | Surgery |
Location | 640 Jackson St.-ms 11502v, St. Paul, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245286905 | NPI | - | NPPES |
1245286905 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 66130-20 (Wisconsin) | Primary |
Entity Name | Northeast Georgia Physicians Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891745212 PECOS PAC ID: 6901898386 Enrollment ID: O20040402001277 |
Entity Name | Gwinnett Physician Group, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578574661 PECOS PAC ID: 9133211139 Enrollment ID: O20070822001035 |
Entity Name | Northside Primary Care Professional Services,llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922397553 PECOS PAC ID: 9638343924 Enrollment ID: O20111123000206 |
Mailing Address | Practice Location Address |
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Dr Gary B Collins, MD 1000 Greenley Rd, Sonora, CA 95370-5200 Ph: (209) 536-5000 | Dr Gary B Collins, MD 640 Jackson St.-ms 11502v, Healthpartners Regions Specialty Clinics, St. Paul, MN 55101-2502 Ph: (651) 254-4870 |
Liliana G Bordeianou, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: University Of Minnesota, 393 Dunlap St. North #500, St. Paul, MN 55104 Phone: 651-312-1568 | |
Michael D Mcgonigal, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 8362 Tamarack Village, Ste 119-280, St. Paul, MN 55125 Phone: 651-334-9745 Fax: 888-978-4792 | |
Dr. Rochus Ken-ichi Voeller, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 640 Jackson St - Mc 11503k, Hehealthpartners Regions Specialty Clinics, St. Paul, MN 55101 Phone: 651-254-2987 Fax: 651-254-1603 |