Dr Benjamin J Gavin, DC | |
4801 Highway 61 N Ste 105, White Bear Lake, MN 55110-2748 | |
(651) 762-5433 | |
Not Available |
Full Name | Dr Benjamin J Gavin |
---|---|
Gender | Male |
Speciality | Chiropractic |
Experience | 7 Years |
Location | 4801 Highway 61 N Ste 105, White Bear Lake, 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 |
---|---|---|---|
1801325873 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 6389 (Minnesota) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Healthsource Chiropractic Of Rogers Llc | 6800024621 | 2 |
Provider Name | Healthsource Chiropractic Of Rogers Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1891076949 PECOS PAC ID: 6800024621 Enrollment ID: O20140124000004 |
Mailing Address | Practice Location Address |
---|---|
Dr Benjamin J Gavin, DC 4801 Highway 61 N Ste 105, White Bear Lake, MN 55110-2748 Ph: (651) 762-5433 | Dr Benjamin J Gavin, DC 4801 Highway 61 N Ste 105, White Bear Lake, MN 55110-2748 Ph: (651) 762-5433 |
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