Gavin Stormont, is a medicare enrolled "Urology" physician in New Ulm, Minnesota. He graduated from medical school in 2017 and has 7 years of diverse experience with area of expertise as Urology. He is a member of the group practice Mankato Clinic Ltd and his current practice location is
1217 8th St N, New Ulm, Minnesota. You can reach out to his office (for appointments etc.) via phone at
(507) 217-5000.
Gavin Stormont is licensed to practice in Minnesota (license number 71498) and he also participates in the medicare program. He
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1639690589.
Physician's Profile
| Full Name | Gavin Stormont |
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| Gender | Male |
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| Speciality | Urology |
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| Experience | 7 Years |
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| Location | 1217 8th St N, New Ulm, Minnesota |
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| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Gavin Stormont graduated from medical school in 2017
NPI Data:
- NPI Number: 1639690589
- Provider Enumeration Date: 06/30/2017
- Last Update Date: 09/04/2024
Medicare PECOS Information:
- PECOS PAC ID: 3274807458
- Enrollment ID: I20220715001052
Medical Identifiers
Medical identifiers for Gavin Stormont such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1639690589 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208800000X | Urology | 71498 (Minnesota) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Mankato Clinic Ltd | 5597677955 | 193 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Gavin Stormont allows following entities to bill medicare on his behalf.
| Entity Name | Mankato Clinic Ltd |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1629044029
PECOS PAC ID: 5597677955
Enrollment ID: O20031104000231 |
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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. Gavin Stormont 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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Gavin Stormont,
2925 Chicago Ave,
Minneapolis, MN 55407-1321
Ph: (612) 262-5000 | Gavin Stormont,
1217 8th St N,
New Ulm, MN 56073-1552
Ph: (507) 217-5000 |
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