Dr Gary M Ivins, MD | |
11905 Thornhill Rd, Eden Prairie, MN 55344-3276 | |
(612) 669-3091 | |
(952) 924-8358 |
Full Name | Dr Gary M Ivins |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Location | 11905 Thornhill Rd, Eden Prairie, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083610356 | NPI | - | NPPES |
339323200 | Medicaid | MN | |
110002645 | Other | MN | MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 37014 (Minnesota) | Primary |
Entity Name | Fairview Health Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013994359 PECOS PAC ID: 1951213057 Enrollment ID: O20031105000461 |
Mailing Address | Practice Location Address |
---|---|
Dr Gary M Ivins, MD 11905 Thornhill Rd, Eden Prairie, MN 55344-3276 Ph: (612) 669-3091 | Dr Gary M Ivins, MD 11905 Thornhill Rd, Eden Prairie, MN 55344-3276 Ph: (612) 669-3091 |
Dr. Joseph Ifokwe, M.D Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344 Phone: 952-595-1100 Fax: 612-294-4903 | |
Dr. Snehal R More, M.B.B.S Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344 Phone: 952-595-1301 Fax: 612-294-4903 |