Michael Philip Gavin, MD is a medicare enrolled "General Practice" physician in Salem, Kentucky. He went to University Of Illinois College Of Med (chi/peor/rock/chm-urb) and graduated in 1976 and has 50 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Tri-rivers Healthcare Pllc and his current practice location is
141 Hospital Dr, Salem, Kentucky. You can reach out to his office (for appointments etc.) via phone at
(270) 988-3298.
Michael Philip Gavin is licensed to practice in Kentucky (license number 21359) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1669442620.
Physician's Profile
| Full Name | Michael Philip Gavin |
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| Gender | Male |
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| Speciality | General Surgery |
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| Experience | 50 Years |
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| Location | 141 Hospital Dr, Salem, Kentucky |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Michael Philip Gavin attended and graduated from University Of Illinois College Of Med (chi/peor/rock/chm-urb) in 1976
NPI Data:
- NPI Number: 1669442620
- Provider Enumeration Date: 01/24/2006
- Last Update Date: 03/17/2015
Medicare PECOS Information:
- PECOS PAC ID: 1557384799
- Enrollment ID: I20060113000160
Medical Identifiers
Medical identifiers for Michael Philip Gavin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1669442620 | NPI | - | NPPES |
| 64213598 | Medicaid | KY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208600000X | Surgery | 21359 (Kentucky) | Secondary |
| 208D00000X | General Practice | 21359 (Kentucky) | Primary |
Medical Facilities Affiliation
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Michael Philip Gavin allows following entities to bill medicare on his behalf.
| Entity Name | Tri-rivers Healthcare Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1598885998 PECOS PAC ID: 8426965278 Enrollment ID: O20040511001797 |
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| Entity Name | Pennyrile District Health Department |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1588781041 PECOS PAC ID: 6002854650 Enrollment ID: O20050422000959 |
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| Entity Name | Pennyrile District Health Department |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1386761435 PECOS PAC ID: 6002854650 Enrollment ID: O20160226001351 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Michael Philip Gavin is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Michael Philip Gavin, MD 141 Hospital Dr, Po Box 347, Salem, KY 42078-8043 Ph: (270) 988-3298 | Michael Philip Gavin, MD 141 Hospital Dr, Salem, KY 42078-8043 Ph: (270) 988-3298 |
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