Gary Poulson, PA-C is a medicare enrolled "Physician Assistant" physician in Rochester, Minnesota. He graduated from medical school in 1979 and has 46 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Mayo Clinic and his current practice location is
200 1st St Sw, Rochester, Minnesota. You can reach out to his office (for appointments etc.) via phone at
(507) 284-2511.
Gary Poulson is licensed to practice in Minnesota (license number 8989) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1891726410.
Physician's Profile
| Full Name | Gary Poulson |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 46 Years |
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| Location | 200 1st St Sw, Rochester, Minnesota |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Gary Poulson graduated from medical school in 1979
NPI Data:
- NPI Number: 1891726410
- Provider Enumeration Date: 07/05/2006
- Last Update Date: 05/15/2024
Medicare PECOS Information:
- PECOS PAC ID: 2961412895
- Enrollment ID: I20060421000429
Medical Identifiers
Medical identifiers for Gary Poulson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1891726410 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207P00000X | Emergency Medicine | 8989 (Minnesota) | Secondary |
| 363A00000X | Physician Assistant | 8989 (Minnesota) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Mayo Clinic | 6507778255 | 4507 |
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. Gary Poulson is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Gary Poulson, PA-C
200 1st St Sw,
Rochester, MN 55905-0001
Ph: (507) 284-2511 | Gary Poulson, PA-C
200 1st St Sw,
Rochester, MN 55905-0001
Ph: (507) 284-2511 |
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