Mr Daniel Douglas Gustafson, MFT in Tustin, CA - Medicare Marriage & Family Therapist Provider

Mr Daniel Douglas Gustafson, MFT is a medicare enrolled "Marriage & Family Therapist" provider in Tustin, California. His current practice location is 14751 Plaza Dr, Unit F, Tustin, California. You can reach out to his office (for appointments etc.) via phone at (714) 284-7445.

Mr Daniel Douglas Gustafson is licensed to practice in California (license number MFC20080) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1992916407.

Contact Information

	Mr Daniel Douglas Gustafson, MFT
	14751 Plaza Dr, Unit F, Tustin, CA 92780-2702
	(714) 284-7445
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Daniel Douglas Gustafson
Gender	Male
Speciality	Marriage & Family Therapist
Location	14751 Plaza Dr, Tustin, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1992916407
Provider Enumeration Date: 05/25/2007
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 0446784441
Enrollment ID: I20241113003826

Medical Identifiers

Medical identifiers for Mr Daniel Douglas Gustafson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1992916407	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
106H00000X	Marriage & Family Therapist	MFC20080 (California)	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. Mr Daniel Douglas Gustafson allows following entities to bill medicare on his behalf.

Entity Name	University Of Colorado Hospital Authority
Entity Type	Part B Supplier - Hospital Department(s)
Entity Identifiers	NPI Number: 1982944054 PECOS PAC ID: 1052223724 Enrollment ID: O20131014000076

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. Mr Daniel Douglas 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 Address	Practice Location Address
Mr Daniel Douglas Gustafson, MFT 3 Parma, Irvine, CA 92602-1656 Ph: (714) 505-5780	Mr Daniel Douglas Gustafson, MFT 14751 Plaza Dr, Unit F, Tustin, CA 92780-2702 Ph: (714) 284-7445

Reviews and Comments

Marriage & Family Therapist in Tustin, CA

Jason William Austin, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 17542 Irvine Blvd, #f, Tustin, CA 92780 Phone: 714-508-1919
Bryan Patrick Hartzell, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 250 El Camino Real Ste 213, Tustin, CA 92780 Phone: 714-805-6510
Mr. Lyle R Rapp, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 14771 Plaza Dr, Ste L, Tustin, CA 92780 Phone: 714-639-4223 Fax: 714-848-5804
Xi Chen, M.A. Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 3002 Dow Ave Ste 122, Tustin, CA 92780 Phone: 949-328-7688 Fax: 949-328-7689
Victoria Dominguez Ashimine, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 17332 Irvine Blvd, Suite 232, Tustin, CA 92780 Phone: 714-457-4326
Mrs. Gail Bailey Cox, MA Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 17332 Irvine Blvd Ste 234, Tustin, CA 92780 Phone: 714-600-2191 Fax: 714-484-7560
Ms. Gail Price, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 17772 Irvine Blvd, Suite 102, Tustin, CA 92780 Phone: 714-606-4401

Mr Daniel Douglas Gustafson, MFT - Medicare Couples Therapy in Tustin, CA