| Dr Gavin T Pittman, MD | |
|
640 Jackson St - Mc 11503l, Healthpartners Regionsl Specialty Clinics, St. Paul, MN 55101-2502 | |
| (651) 254-2005 | |
| (651) 254-1519 |
| Full Name | Dr Gavin T Pittman |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 26 Years |
| Location | 640 Jackson St - Mc 11503l, St. Paul, 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 |
|---|---|---|---|
| 1578581351 | NPI | - | NPPES |
| 135135E949 | Other | UCARE | |
| HP52033 | Other | HEALTHPARTNERS | |
| 660273800 | Medicaid | MN | |
| 969991044105 | Other | PREFERREDONE | |
| 332G2PI | Other | BLUECROSSBLUESHIELD | |
| 901999 | Other | MEDICA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 47753 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Park Nicollet Methodist Hospital | Saint louis park, MN | Hospital |
| Lakeview Memorial Hospital | Stillwater, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Tria Orthopaedic Center Llc | 3173570561 | 461 |
| Entity Name | Group Health Plan Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710924683 PECOS PAC ID: 1759293954 Enrollment ID: O20031105000417 |
| Entity Name | Tria Orthopaedic Center Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518273085 PECOS PAC ID: 3173570561 Enrollment ID: O20110310000999 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Gavin T Pittman, MD 155 Radio Dr, Woodbury, MN 55125-2619 Ph: (952) 883-5375 | Dr Gavin T Pittman, MD 640 Jackson St - Mc 11503l, Healthpartners Regionsl Specialty Clinics, St. Paul, MN 55101-2502 Ph: (651) 254-2005 |
Dr. Matthew M Kang, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 640 Jackson St - Mc 11503g, Healthpartners Regions Specialty Clinics, St. Paul, MN 55101 Phone: 651-495-6600 Fax: 952-883-9677 | |
Randy S Twito, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 435 Phalen Blvd, Healthpartners Speciality Center 435, St. Paul, MN 55130 Phone: 651-254-8300 Fax: 651-254-8379 | |
Christina M Ward, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 401 Phalen Blvd - Ms 41104h, Healthpartners Specialty Center 401, St. Paul, MN 55130 Phone: 651-254-8290 Fax: 651-254-8299 | |
Walter Huu Truong, M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 200 University Ave E., St. Paul, MN 55101 Phone: 651-578-5197 | |
Dr. Thomas A Lange, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 435 Phalen Blvd - Ms 51103h, Healthpartners Specialty Center 435, St. Paul, MN 55130 Phone: 651-254-8300 Fax: 651-254-8379 |