Dr Stacey Lynn Gutman, MD | |
512 Skyline Blvd Ste 1, Cloquet, MN 55720-1199 | |
(218) 879-4641 | |
(218) 878-7081 |
Full Name | Dr Stacey Lynn Gutman |
---|---|
Gender | Female |
Speciality | General Surgery |
Experience | 12 Years |
Location | 512 Skyline Blvd Ste 1, Cloquet, Minnesota |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1730447251 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | R2933 (Kentucky) | Secondary |
208600000X | Surgery | MD21753 (Maine) | Secondary |
208600000X | Surgery | 77119 (Minnesota) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Lincolnhealth | Damariscotta, ME | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mainehealth | 7517860588 | 2109 |
Entity Name | Mainehealth |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790265502 PECOS PAC ID: 7517860588 Enrollment ID: O20040701000166 |
Entity Name | Franklin Memorial Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558305847 PECOS PAC ID: 4385615145 Enrollment ID: O20090805000364 |
Entity Name | Calais Community Hospital |
---|---|
Entity Type | Part B Supplier - Hospital Department(s) |
Entity Identifiers | NPI Number: 1922001049 PECOS PAC ID: 0345649158 Enrollment ID: O20210910001201 |
Mailing Address | Practice Location Address |
---|---|
Dr Stacey Lynn Gutman, MD 24 Miles Center Way, Damariscotta, ME 04543-4067 Ph: (207) 563-4252 | Dr Stacey Lynn Gutman, MD 512 Skyline Blvd Ste 1, Cloquet, MN 55720-1199 Ph: (218) 879-4641 |
Dr. Brance E Modin, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 512 Skyline Blvd, Cloquet, MN 55720 Phone: 218-879-1271 | |
Dr. Steven Buster Vopat, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 512 Skyline Blvd, Cloquet, MN 55720 Phone: 218-878-7626 Fax: 218-878-7650 | |
Dr. Bethany Anne Nyland, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 512 Skyline Blvd, Cloquet, MN 55720 Phone: 218-879-4641 |