Gavin Stormont, - Medicare Urology in Mankato, MN

Gavin Stormont, is a medicare enrolled "Urology" physician in Mankato, 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 1421 Premier Dr, Mankato, Minnesota. You can reach out to his office (for appointments etc.) via phone at (507) 625-1811.

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.

Contact Information

Gavin Stormont,
1421 Premier Dr,
Mankato, MN 56001-6076
(507) 625-1811
Not Available



Physician's Profile

Full NameGavin Stormont
GenderMale
SpecialityUrology
Experience7 Years
Location1421 Premier Dr, Mankato, Minnesota
Accepts Medicare AssignmentsMay be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  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: 06/27/2022
  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.
IdentifierTypeStateIssuer
1639690589NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery 8112 (Nebraska)Secondary
208800000XUrology 71498 (Minnesota)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
River's Edge Hospital & ClinicSt peter, MNHospital
New Ulm Medical CenterNew ulm, MNHospital
Abbott Northwestern HospitalMinneapolis, MNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mankato Clinic Ltd5597677955201

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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 NameMankato Clinic Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI 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 AddressPractice Location Address
Gavin Stormont,
1421 Premier Dr,
Mankato, MN 56001-6076

Ph: () -
Gavin Stormont,
1421 Premier Dr,
Mankato, MN 56001-6076

Ph: (507) 625-1811

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Urology Doctors in Mankato, MN

Gary S Goldberg, MD
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 1421 Premiere Dr, Mankato Clinic@ Wickersham Campus, Mankato, MN 56001
Phone: 507-625-1811    
Dr. Laurence T O'connor, M.D.
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 1025 Marsh St, Mankato, MN 56001
Phone: 507-625-4031    
Michael C James, MD
Urology
Medicare: Not Enrolled in Medicare
Practice Location: 1421 Premiere Dr, Mankato Clinic At Wickersham Campus, Mankato, MN 56001
Phone: 507-625-1811    
Joe Y Lee, MD
Urology
Medicare: Not Enrolled in Medicare
Practice Location: 1025 Marsh St, Mankato, MN 56001
Phone: 507-625-4031    
David Yuzhi Yang, M.D.
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 1025 Marsh St, Mankato, MN 56001
Phone: 507-625-4031    
Dr. Derek Gearman, M.D.
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 1025 Marsh St, Mankato, MN 56001
Phone: 507-625-4031    
Spencer Andrew Bershow, MD
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 1025 Marsh St, Mankato, MN 56001
Phone: 507-625-4031    

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