Michael Philip Gavin, MD is a medicare enrolled "General Practice" physician in Salem, Kentucky. He went to University Of Illinois College Of Med (chi/peor/rock/chm-urb) and graduated in 1976 and has 48 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Tri-rivers Healthcare Pllc and his current practice location is
141 Hospital Dr, Salem, Kentucky. You can reach out to his office (for appointments etc.) via phone at
(270) 988-3298.
Michael Philip Gavin is licensed to practice in Kentucky (license number 21359) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1669442620.
Physician's Profile
Full Name | Michael Philip Gavin |
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Gender | Male |
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Speciality | General Surgery |
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Experience | 48 Years |
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Location | 141 Hospital Dr, Salem, Kentucky |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Michael Philip Gavin attended and graduated from University Of Illinois College Of Med (chi/peor/rock/chm-urb) in 1976
NPI Data:
- NPI Number: 1669442620
- Provider Enumeration Date: 01/24/2006
- Last Update Date: 03/17/2015
Medicare PECOS Information:
- PECOS PAC ID: 1557384799
- Enrollment ID: I20060113000160
Medical Identifiers
Medical identifiers for Michael Philip Gavin such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1669442620 | NPI | - | NPPES |
64213598 | Medicaid | KY | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208600000X | Surgery | 21359 (Kentucky) | Secondary |
208D00000X | General Practice | 21359 (Kentucky) | Primary |
Medical Facilities Affiliation
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. Michael Philip Gavin allows following entities to bill medicare on his behalf.
Entity Name | Tri-rivers Healthcare Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1598885998 PECOS PAC ID: 8426965278 Enrollment ID: O20040511001797 |
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Entity Name | Pennyrile District Health Department |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1588781041 PECOS PAC ID: 6002854650 Enrollment ID: O20050422000959 |
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Entity Name | Pennyrile District Health Department |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1386761435 PECOS PAC ID: 6002854650 Enrollment ID: O20160226001351 |
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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. Michael Philip Gavin 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 |
Michael Philip Gavin, MD 141 Hospital Dr, Po Box 347, Salem, KY 42078-8043 Ph: (270) 988-3298 | Michael Philip Gavin, MD 141 Hospital Dr, Salem, KY 42078-8043 Ph: (270) 988-3298 |
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