Dr Michael Owen Musty Sr, MD is a
Internal Medicine physician based in East Gull Lake, Minnesota. Dr Michael Owen Musty Sr is licensed to practice in Minnesota (license number 20818) and his current practice location is 10710 Pine Beach Peninsula Loop, East Gull Lake, Minnesota. He can be reached at his office (for appointments etc.) via phone at
(218) 330-1139.
NPI number for Dr Michael Owen Musty Sr is 1700947082 and his current mailing address is 10710 Pine Beach Peninsula Loop, East Gull Lake, Minnesota. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1700947082.
Physician's Profile
| Full Name | Dr Michael Owen Musty Sr |
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| Gender | Male |
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| Speciality | Internal Medicine |
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| Location | 10710 Pine Beach Peninsula Loop, East Gull Lake, 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: 1700947082
- Provider Enumeration Date: 12/12/2006
- Last Update Date: 09/16/2011
Medical Identifiers
Medical identifiers for Dr Michael Owen Musty Sr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1700947082 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | 20818 (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 Michael Owen Musty Sr 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 |
|---|
Dr Michael Owen Musty Sr, MD
10710 Pine Beach Peninsula Loop,
East Gull Lake, MN 56401-2027
Ph: (218) 330-1139 | Dr Michael Owen Musty Sr, MD
10710 Pine Beach Peninsula Loop,
East Gull Lake, MN 56401-2027
Ph: (218) 330-1139 |
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