John A Gergen, PT, MBA is a
Physical Therapist based in East Bethel, Minnesota. John A Gergen is licensed to practice in Minnesota (license number 5477) and his current practice location is
19131 Taylor St Ne, East Bethel, Minnesota. He can be reached at his office (for appointments etc.) via phone at
(763) 392-5443.
NPI number for John A Gergen is 1619926912 and his current mailing address is 15856 Linnet St Nw, Andover, Minnesota. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1619926912.
Healthcare Provider's Profile
| Full Name | John A Gergen |
|---|
| Gender | Male |
|---|
| Speciality | Physical Therapist |
|---|
| Location | 19131 Taylor St Ne, East Bethel, Minnesota |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1619926912
- Provider Enumeration Date: 05/06/2006
- Last Update Date: 08/14/2025
Medical Identifiers
Medical identifiers for John A Gergen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1619926912 | NPI | - | NPPES |
| 049509300 | Medicaid | MN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225100000X | Physical Therapist | 5477 (Minnesota) | Primary |
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. John A Gergen is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
John A Gergen, PT, MBA
15856 Linnet St Nw,
Andover, MN 55304-2686
Ph: (763) 221-1424 | John A Gergen, PT, MBA
19131 Taylor St Ne,
East Bethel, MN 55011-4422
Ph: (763) 392-5443 |
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