Dr Mary L Gavin, MD in Newton Square, PA

Dr Mary L Gavin, MD - Pediatrics in Newton Square, PA

Dr Mary L Gavin, MD is a Pediatrics physician based in Newton Square, Pennsylvania. Dr Mary L Gavin is licensed to practice in Pennsylvania (license number MD418266) and her current practice location is 3855 West Chester Pike, Suite 280, Nemours Dupont Pediatrics, Newton Square, Newton Square, Pennsylvania. She can be reached at her office (for appointments etc.) via phone at (610) 557-4800.

NPI number for Dr Mary L Gavin is 1881784528 and her current mailing address is Po Box 191, Provider Enrollment Dept, Rockland, Delaware. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1881784528.

Contact Information

	Dr Mary L Gavin, MD
	3855 West Chester Pike, Suite 280, Nemours Dupont Pediatrics, Newton Square, Newton Square, PA 19073-2304
	(610) 557-4800
	(302) 651-4945

Map and Direction

Physician's Profile

Full Name	Dr Mary L Gavin
Gender	Female
Speciality	Pediatrics
Location	3855 West Chester Pike, Suite 280, Newton Square, Pennsylvania
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1881784528
Provider Enumeration Date: 10/13/2006
Last Update Date: 10/03/2014

Medical Identifiers

Medical identifiers for Dr Mary L Gavin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1881784528	NPI	-	NPPES
36790	Medicaid	NJ
4053079	Medicaid	MD
101018361	Medicaid	PA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	C10006711 (Delaware)	Secondary
208000000X	Pediatrics	MD418266 (Pennsylvania)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Mary L Gavin is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Mary L Gavin, MD Po Box 191, Provider Enrollment Dept, Rockland, DE 19732-0191 Ph: (302) 651-6212	Dr Mary L Gavin, MD 3855 West Chester Pike, Suite 280, Nemours Dupont Pediatrics, Newton Square, Newton Square, PA 19073-2304 Ph: (610) 557-4800