Michelle M Gavin, GNP, BC - Medicare Nurse Practitioner in Tomah, WI

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Michelle M Gavin, GNP, BC is a medicare enrolled "Nurse Practitioner - Gerontology" in Tomah, Wisconsin. Her current practice location is 505 Gopher Dr, Tomah, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (608) 372-4111.

Michelle M Gavin is licensed to practice in Wisconsin (license number 2057) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1467749184.

Contact Information

Michelle M Gavin, GNP, BC
505 Gopher Dr,
Tomah, WI 54660-4513
(608) 372-4111
Not Available

Map and Direction




Provider's Profile

Full NameMichelle M Gavin
GenderFemale
SpecialityNurse Practitioner - Gerontology
Location505 Gopher Dr, Tomah, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1467749184
  • Provider Enumeration Date: 07/01/2011
  • Last Update Date: 10/03/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 9739357369
  • Enrollment ID: I20110726000165

Medical Identifiers

Medical identifiers for Michelle M Gavin such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1467749184NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LN0000XNurse Practitioner - Neonatal 2057 (Wisconsin)Secondary
363LG0600XNurse Practitioner - Gerontology 2057 (Wisconsin)Primary

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. Michelle M Gavin allows following entities to bill medicare on her behalf.
Entity NameLeo J Bronston
Entity TypePractitioner - Chiropractic
Entity IdentifiersNPI Number: 1427077718
PECOS PAC ID: 1658318407
Enrollment ID: I20080211000199
Entity NameGundersen Clinic Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1851343115
PECOS PAC ID: 9638082779
Enrollment ID: O20031106000139
Entity NameMoundview Memorial Hospital & Clinics Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710939533
PECOS PAC ID: 1355250432
Enrollment ID: O20031121000846
Entity NameSt Joseph's Health Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104031798
PECOS PAC ID: 3971586439
Enrollment ID: O20040615000273

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. Michelle M 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 AddressPractice Location Address
Michelle M Gavin, GNP, BC
1836 South Ave,
La Crosse, WI 54601-5429

Ph: (608) 782-7300		Michelle M Gavin, GNP, BC
505 Gopher Dr,
Tomah, WI 54660-4513

Ph: (608) 372-4111

Reviews and Comments


Nurse Practitioner Nurses in Tomah, WI

Evelyn Williams Bragg, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 500 E Veterans St, Tomah, WI 54660
Phone: 608-372-3971    
Mr. Daniel Hannan, PMHNP-BC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 500 E Veterans St, Tomah, WI 54660
Phone: 608-372-3971    
Sarah J Rezin, APNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 500 E Veterans St, Tomah, WI 54660
Phone: 608-372-3971    Fax: 608-372-1240
Amy Pollack, APNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 500 E Veterans St, Tomah, WI 54660
Phone: 608-372-3971    
Kayla J Gilman, DNP, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 505 Gopher Dr, Tomah, WI 54660
Phone: 608-372-4111    
Agnieszka Dendura,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 501 Gopher Dr, Tomah, WI 54660
Phone: 608-371-2181    
Mrs. Lyndell Marie Wedyke, CNM
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1330 N Superior Ave, Tomah, WI 54660
Phone: 608-372-4111    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.