Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Gary Prebeck, PA-C

Individual provider Physician Assistant · NPI 1508417924

Gary Prebeck, PA-C is a Physician Assistant in Saint Cloud, Minnesota. Qualified in 2020, 6 years ago. Practices with Fairview Clinics, a 806-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
6
Licensed in
MN
In the registry since
2019
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1200 6th Ave N
Saint Cloud, MN 56303-2735
Phone: (404) 727-7825
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 13669 (MN)

Record details

NPI number1508417924
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedSeptember 26, 2019
Last updated in NPPESMarch 23, 2021
Certification dateMarch 23, 2021
Mailing address1200 6th Ave N, Saint Cloud, MN 56303-2735

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Fairview Clinics — 806 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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