Gregory S Defor, MD | |
5625 Cenex Dr, Inver Grove Heights, MN 55077-1724 | |
(651) 552-2600 | |
(651) 552-2614 |
Full Name | Gregory S Defor |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 30 Years |
Location | 5625 Cenex Dr, Inver Grove Heights, Minnesota |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265496954 | NPI | - | NPPES |
067718300 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 38410 (Minnesota) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Essentia Health Moose Lake | Moose lake, MN | Hospital |
Essentia Health Duluth | Duluth, MN | Hospital |
Essentia Health Sandstone | Sandstone, MN | Hospital |
Essentia Health St Mary's Medical Center | Duluth, MN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
The Duluth Clinic Ltd | 2567374283 | 949 |
Pine Medical Center | 3870406945 | 16 |
Essentia Health Moose Lake | 6608290333 | 13 |
Entity Name | The Duluth Clinic Ltd |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902563638 PECOS PAC ID: 2567374283 Enrollment ID: O20031103000229 |
Entity Name | Pine Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326041633 PECOS PAC ID: 3870406945 Enrollment ID: O20031106000272 |
Entity Name | Essentia Health Moose Lake |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154959880 PECOS PAC ID: 6608290333 Enrollment ID: O20200730001548 |
Mailing Address | Practice Location Address |
---|---|
Gregory S Defor, MD 8170 33rd Ave S, Ms21110q, Bloomington, MN 55425-4516 Ph: (651) 552-2600 | Gregory S Defor, MD 5625 Cenex Dr, Inver Grove Heights, MN 55077-1724 Ph: (651) 552-2600 |
Vanessa Diramos Gil, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5625 Cenex Dr, Inver Grove Heights, MN 55077 Phone: 651-552-2600 | |
Bonnie J Rohr, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5625 Cenex Dr, Inver Grove Heights, MN 55077 Phone: 651-552-2600 Fax: 651-552-2614 | |
Anthony B Ferrara, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 2980 Buckley Way, Inver Grove Heights, MN 55076 Phone: 651-457-2748 Fax: 651-457-0822 | |
Dr. Daniel R. Stahl, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2980 Buckley Way, Inver Grove Heights, MN 55076 Phone: 651-457-2748 Fax: 651-457-0822 | |
Laura Bagley, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5565 Blaine Ave, Inver Grove Heights, MN 55076 Phone: 651-241-9400 | |
Lisa Marshall, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 2980 Buckley Way, Inver Grove Heights, MN 55076 Phone: 651-457-2748 Fax: 651-457-0822 |