Gary Poulson, PA-C is a medicare enrolled "Physician Assistant" physician in Rochester, Minnesota. 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 does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. 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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| Location | 200 1st St Sw, Rochester, Minnesota |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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 |
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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