Dr David Wayne Gottenborg, DC is a medicare enrolled "Chiropractor" provider in Pelican Rapids, Minnesota. He went to Northwestern College Of Chiropractic and graduated in 1983 and has 41 years of diverse experience with area of expertise as Chiropractic. His current practice location is
12 5th Ave. Ne, Pelican Rapids, Minnesota. You can reach out to his office (for appointments etc.) via phone at
(218) 863-2134.
Dr David Wayne Gottenborg is licensed to practice in Minnesota (license number 1952) 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 1053426171.
Healthcare Provider's Profile
| Full Name | Dr David Wayne Gottenborg |
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| Gender | Male |
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| Speciality | Chiropractic |
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| Experience | 41 Years |
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| Location | 12 5th Ave. Ne, Pelican Rapids, Minnesota |
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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. |
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Medical Education and Training:
- Dr David Wayne Gottenborg attended and graduated from Northwestern College Of Chiropractic in 1983
NPI Data:
- NPI Number: 1053426171
- Provider Enumeration Date: 08/20/2006
- Last Update Date: 11/14/2007
Medicare PECOS Information:
- PECOS PAC ID: 2466485065
- Enrollment ID: I20050914000828
Medical Identifiers
Medical identifiers for Dr David Wayne Gottenborg such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1053426171 | NPI | - | NPPES |
| 61177GO | Other | MN | BLUE CROSS BLUE SHIELD MN |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | 1952 (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. Dr David Wayne Gottenborg 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 |
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Dr David Wayne Gottenborg, DC
Po Box 385,
Pelican Rapids, MN 56572
Ph: (218) 863-2134 | Dr David Wayne Gottenborg, DC
12 5th Ave. Ne,
Pelican Rapids, MN 56572
Ph: (218) 863-2134 |
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