Michelle Lee Gustafson, MSW, LICSW - Medicare Clinical Social Worker in Mpls, MN

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Michelle Lee Gustafson, MSW, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Mpls, Minnesota. Her current practice location is Fairview University Hospital, 2450 Riverside Avenue South, Mpls, Minnesota. You can reach out to her office (for appointments etc.) via phone at (612) 273-5640.

Michelle Lee Gustafson is licensed to practice in Minnesota (license number 10595) 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 1700823952.

Contact Information

Michelle Lee Gustafson, MSW, LICSW
Fairview University Hospital, 2450 Riverside Avenue South,
Mpls, MN 55454
(612) 273-5640
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameMichelle Lee Gustafson
GenderFemale
SpecialitySocial Worker - Clinical
LocationFairview University Hospital, Mpls, Minnesota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1700823952
  • Provider Enumeration Date: 05/31/2006
  • Last Update Date: 01/06/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 4385948108
  • Enrollment ID: I20160215001453

Medical Identifiers

Medical identifiers for Michelle Lee Gustafson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1700823952NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical 10595 (Minnesota)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 Lee Gustafson allows following entities to bill medicare on her behalf.
Entity NameFairview Health Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013994359
PECOS PAC ID: 1951213057
Enrollment ID: O20031105000461
Entity NameBehavioral Healthcare Providers
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912066218
PECOS PAC ID: 8426374232
Enrollment ID: O20150312002305

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 Lee Gustafson 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 Lee Gustafson, MSW, LICSW
2450 Riverside Ave,
Minneapolis, MN 55454-1450

Ph: (612) 672-4103		Michelle Lee Gustafson, MSW, LICSW
Fairview University Hospital, 2450 Riverside Avenue South,
Mpls, MN 55454

Ph: (612) 273-5640

Reviews and Comments


Social Worker in Mpls, MN

Ms. Natalie Jo Mcnall, LICSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 2450 Riverside Ave So #ngis, University Of Mn-fairview, Mpls, MN 55454
Phone: 612-273-5812    Fax: 612-273-7590
Kari Lewis, LICSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 932 E 34th St, Mpls, MN 55407
Phone: 612-204-8250    

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.