Gavin Stormont, | |
1421 Premier Dr, Mankato, MN 56001-6076 | |
(507) 625-1811 | |
Not Available |
Full Name | Gavin Stormont |
---|---|
Gender | Male |
Speciality | Urology |
Experience | 7 Years |
Location | 1421 Premier Dr, Mankato, 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 |
---|---|---|---|
208600000X | Surgery | 8112 (Nebraska) | Secondary |
208800000X | Urology | 71498 (Minnesota) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
River's Edge Hospital & Clinic | St peter, MN | Hospital |
New Ulm Medical Center | New ulm, MN | Hospital |
Abbott Northwestern Hospital | Minneapolis, MN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mankato Clinic Ltd | 5597677955 | 201 |
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 |
---|---|
Gavin Stormont, 1421 Premier Dr, Mankato, MN 56001-6076 Ph: () - | Gavin Stormont, 1421 Premier Dr, Mankato, MN 56001-6076 Ph: (507) 625-1811 |
Gary S Goldberg, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 1421 Premiere Dr, Mankato Clinic@ Wickersham Campus, Mankato, MN 56001 Phone: 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 |