| Gary S Goldberg, MD | |
|
1421 Premiere Dr, Mankato Clinic@ Wickersham Campus, Mankato, MN 56001-6076 | |
| (507) 625-1811 | |
| Not Available |
| Full Name | Gary S Goldberg |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 32 Years |
| Location | 1421 Premiere Dr, Mankato, 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 |
|---|---|---|---|
| 1013995034 | NPI | - | NPPES |
| 140754 | Other | MN | UCARE |
| 340019399 | Other | RR MEDICARE | |
| HP34028 | Other | MN | HEALTH PARTNERS |
| 1808800 | Other | MN | AMERICAS PPO |
| 1900310 | Other | MN | MEDICA |
| 0568394 | Other | IA | MEDICAID |
| 392183200 | Medicaid | MN | |
| 47D36GO | Other | MN | BCBS |
| NA2951028013 | Other | MN | PREFFERED ONE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 43508 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Sleepy Eye Medical Center | Sleepy eye, MN | Hospital |
| Abbott Northwestern Hospital | Minneapolis, MN | Hospital |
| River's Edge Hospital & Clinic | St peter, MN | Hospital |
| Madelia Community Hospital | Madelia, MN | Hospital |
| New Ulm Medical Center | New ulm, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mankato Clinic Ltd | 5597677955 | 221 |
| Entity Name | Mankato Clinic Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629044029 PECOS PAC ID: 5597677955 Enrollment ID: O20031104000231 |
| Mailing Address | Practice Location Address |
|---|---|
| Gary S Goldberg, MD Po Box 8674, 1230 E Main St Mankato Clinic Ltd, Mankato, MN 56002-8674 Ph: () - | Gary S Goldberg, MD 1421 Premiere Dr, Mankato Clinic@ Wickersham Campus, Mankato, MN 56001-6076 Ph: (507) 625-1811 |
Dr. Laurence T O'connor, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 1025 Marsh St, Mankato, MN 56001 Phone: 507-625-4031 | |
Michael C James, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 1421 Premiere Dr, Mankato Clinic At Wickersham Campus, Mankato, MN 56001 Phone: 507-625-1811 | |
Joe Y Lee, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 1025 Marsh St, Mankato, MN 56001 Phone: 507-625-4031 | |
David Yuzhi Yang, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 1025 Marsh St, Mankato, MN 56001 Phone: 507-625-4031 | |
Dr. Derek Gearman, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 1025 Marsh St, Mankato, MN 56001 Phone: 507-625-4031 | |
Spencer Andrew Bershow, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 1025 Marsh St, Mankato, MN 56001 Phone: 507-625-4031 |