| Gavin Stormont, | |
|
1217 8th St N, New Ulm, MN 56073-1552 | |
| (507) 217-5000 | |
| Not Available |
| Full Name | Gavin Stormont |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 9 Years |
| Location | 1217 8th St N, New Ulm, Minnesota |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639690589 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 71498 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Chippewa County Hospital | Montevideo, MN | Hospital |
| Windom Area Health | Windom, MN | Hospital |
| Sanford Medical Center Worthington | Worthington, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ccm Health | 4284539453 | 48 |
| 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 |
| Entity Name | Ccm Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720086028 PECOS PAC ID: 4284539453 Enrollment ID: O20031201000642 |
| Entity Name | Allina Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295272342 PECOS PAC ID: 4587573613 Enrollment ID: O20040319000460 |
| Entity Name | Windom Area Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841288644 PECOS PAC ID: 7113911272 Enrollment ID: O20040412001199 |
| Entity Name | Ccm Health |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1720086028 PECOS PAC ID: 4284539453 Enrollment ID: O20060504000810 |
| Entity Name | Windom Area Hospital |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1841288644 PECOS PAC ID: 7113911272 Enrollment ID: O20110128000749 |
| Entity Name | Windom Area Hospital |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1831187509 PECOS PAC ID: 7113911272 Enrollment ID: O20110128000754 |
| Mailing Address | Practice Location Address |
|---|---|
| Gavin Stormont, 2925 Chicago Ave, Minneapolis, MN 55407-1321 Ph: (612) 262-5000 | Gavin Stormont, 1217 8th St N, New Ulm, MN 56073-1552 Ph: (507) 217-5000 |