Eileen S Gavin, MD | |
333 Pine Ridge Blvd, Wausau, WI 54401-4120 | |
(715) 847-2505 | |
Not Available |
Full Name | Eileen S Gavin |
---|---|
Gender | Female |
Speciality | Family Medicine |
Location | 333 Pine Ridge Blvd, Wausau, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1518992445 | NPI | - | NPPES |
32161800 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 36931 (Wisconsin) | Primary |
Entity Name | Bad River Band Of Lake Superior Tribe Of Chippewa Indians Wis |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699701375 PECOS PAC ID: 7810089414 Enrollment ID: O20160330000840 |
Mailing Address | Practice Location Address |
---|---|
Eileen S Gavin, MD Po Box 1008, Wausau, WI 54402-1008 Ph: (715) 847-2148 | Eileen S Gavin, MD 333 Pine Ridge Blvd, Wausau, WI 54401-4120 Ph: (715) 847-2505 |
Melanie A Hellrood, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 2720 Plaza Dr Ste 1300, Wausau, WI 54401 Phone: 715-847-2630 | |
Dr. Jonathan Joseph Cotter, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3110 Glendale Ave, Wausau, WI 54401 Phone: 715-845-8891 Fax: 715-845-8891 | |
Natalie Weeks, Family Medicine Medicare: Medicare Enrolled Practice Location: 425 Wind Ridge Dr, Wausau, WI 54401 Phone: 715-675-3391 | |
Lindsey Sippl, AGPCNP-BC Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1111 Westwood Dr, Wausau, WI 54401 Phone: 715-952-1029 Fax: 715-304-3682 | |
Adam G Clements, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 425 Wind Ridge Dr, Wausau, WI 54401 Phone: 715-675-3391 Fax: 715-675-4253 | |
Lisa Grill Dodson, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2720 Plaza Dr, Suite 1100, Wausau, WI 54401 Phone: 715-847-2472 | |
John F Webb, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2727 Plaza Dr, Wausau, WI 54401 Phone: 715-847-3434 |