| Gregory S Defor, MD | |
|
5625 Cenex Dr, Inver Grove Heights, MN 55077-1724 | |
| (651) 552-2600 | |
| (651) 552-2614 |
| Full Name | Gregory S Defor |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 32 Years |
| Location | 5625 Cenex Dr, Inver Grove Heights, 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 |
|---|---|---|---|
| 1265496954 | NPI | - | NPPES |
| 067718300 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 38410 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Essentia Health Duluth | Duluth, MN | Hospital |
| Essentia Health Moose Lake | Moose lake, MN | Hospital |
| Essentia Health Sandstone | Sandstone, MN | Hospital |
| Essentia Health St Mary's Medical Center | Duluth, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Polinsky Medical Rehabilitation Center | 0941377360 | 242 |
| The Duluth Clinic Ltd | 2567374283 | 957 |
| Pine Medical Center | 3870406945 | 23 |
| 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 | Pine Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326041633 PECOS PAC ID: 3870406945 Enrollment ID: O20031106000272 |
| Entity Name | Essentia Health Moose Lake |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154959880 PECOS PAC ID: 6608290333 Enrollment ID: O20200730001548 |
| Mailing Address | Practice Location Address |
|---|---|
| Gregory S Defor, MD 8170 33rd Ave S, Ms21110q, Bloomington, MN 55425-4516 Ph: (651) 552-2600 | Gregory S Defor, MD 5625 Cenex Dr, Inver Grove Heights, MN 55077-1724 Ph: (651) 552-2600 |
Vanessa Diramos Gil, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5625 Cenex Dr, Inver Grove Heights, MN 55077 Phone: 651-552-2600 | |
Bonnie J Rohr, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 5625 Cenex Dr, Inver Grove Heights, MN 55077 Phone: 651-552-2600 Fax: 651-552-2614 | |
Anthony B Ferrara, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 2980 Buckley Way, Inver Grove Heights, MN 55076 Phone: 651-457-2748 Fax: 651-457-0822 | |
Dr. Daniel R. Stahl, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2980 Buckley Way, Inver Grove Heights, MN 55076 Phone: 651-457-2748 Fax: 651-457-0822 | |
Laura Bagley, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5565 Blaine Ave, Inver Grove Heights, MN 55076 Phone: 651-241-9400 | |
Dr. John Daniel Lamey Jr., M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 5972 Cahill Ave, Suite 112, Inver Grove Heights, MN 55076 Phone: 651-451-6954 Fax: 651-451-2103 |