| Gary Wayne Beaver, DO | |
|
400 E 3rd St, Duluth, MN 55805-1951 | |
| (218) 786-8364 | |
| Not Available |
| Full Name | Gary Wayne Beaver |
|---|---|
| Gender | Male |
| Speciality | Neurology |
| Experience | 32 Years |
| Location | 400 E 3rd St, Duluth, 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 |
|---|---|---|---|
| 1023051356 | NPI | - | NPPES |
| 589126400 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 43471 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Essentia Health Duluth | Duluth, MN | Hospital |
| Essentia Health St Mary's Medical Center | Duluth, MN | Hospital |
| St Marys Hospital Superior | Superior, WI | Hospital |
| Essentia Health Virginia | Virginia, MN | Hospital |
| Memorial Medical Center | Ashland, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| The Duluth Clinic Ltd | 2567374283 | 957 |
| Polinsky Medical Rehabilitation Center | 0941377360 | 242 |
| Entity Name | The Duluth Clinic Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902563638 PECOS PAC ID: 2567374283 Enrollment ID: O20031103000229 |
| Entity Name | Fairview Health Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013994359 PECOS PAC ID: 1951213057 Enrollment ID: O20031105000461 |
| Mailing Address | Practice Location Address |
|---|---|
| Gary Wayne Beaver, DO 400 E 3rd St, Duluth, MN 55805-1951 Ph: (218) 786-8364 | Gary Wayne Beaver, DO 400 E 3rd St, Duluth, MN 55805-1951 Ph: (218) 786-8364 |
Chena Margaret-filizetti Beauduy, D.O. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 400 E 3rd St, Essentia Health Duluth Clinic, Duluth, MN 55805 Phone: 218-786-3925 | |
Brian Wasserman, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 400 E 3rd St, Duluth, MN 55805 Phone: 218-786-8364 | |
Dr. Ricci Lee Bender, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 502 E 2nd St, Duluth, MN 55805 Phone: 218-786-8364 | |
Rachel Lynn Frost, PMHNP-BC Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1102 E 4th St, Duluth, MN 55805 Phone: 218-451-4886 | |
Timothy John Egan, Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 400 E 3rd St, Duluth, MN 55805 Phone: 218-786-8364 | |
Dr. Kenneth Alcuin Bromen, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 306 W Superior St, Suite 403, Duluth, MN 55802 Phone: 217-722-4379 Fax: 218-722-4333 |