Allison Leigh Gustafson, MD in Green Bay, WI - Medicare Obstetrics & Gynecology

Allison Leigh Gustafson, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Green Bay, Wisconsin. Her current practice location is 1821 S Webster Ave, Green Bay, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 496-4700.

Allison Leigh Gustafson is licensed to practice in Wisconsin (license number 83333-20) 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 1588290464.

Contact Information

	Allison Leigh Gustafson, MD
	1821 S Webster Ave, Green Bay, WI 54301-2253
	(920) 496-4700
	Not Available

Map and Direction

Physician's Profile

Full Name	Allison Leigh Gustafson
Gender	Female
Speciality	Obstetrics & Gynecology
Location	1821 S Webster Ave, Green Bay, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1588290464
Provider Enumeration Date: 03/23/2020
Last Update Date: 12/20/2024

Medicare PECOS Information:

PECOS PAC ID: 6507282704
Enrollment ID: I20240909001639

Medical Identifiers

Medical identifiers for Allison Leigh Gustafson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1588290464	NPI	-	NPPES
100287020	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207V00000X	Obstetrics & Gynecology	83333-20 (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. Allison Leigh Gustafson allows following entities to bill medicare on her behalf.

Entity Name	Prevea Clinic Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1306869276 PECOS PAC ID: 0042123150 Enrollment ID: O20031106000034

Entity Name	St. Nicholas Hospital-sisters Of The Third Order Of St Francis
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275799413 PECOS PAC ID: 8325931652 Enrollment ID: O20040202001172

Entity Name	St Vincent Hospital-hospital Sisters-third Order Of St Francis
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285613638 PECOS PAC ID: 5799694675 Enrollment ID: O20080620000423

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. Allison Leigh 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
Allison Leigh Gustafson, MD Po Box 19070, Green Bay, WI 54307-9070 Ph: (920) 496-4700	Allison Leigh Gustafson, MD 1821 S Webster Ave, Green Bay, WI 54301-2253 Ph: (920) 496-4700

Reviews and Comments

Obstetrics & Gynecology Doctors in Green Bay, WI

Edward G Vogel, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 2641 Development Dr, Green Bay, WI 54311 Phone: 920-338-6868 Fax: 920-338-6869
Dr. Michael J Brockman, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 2845 Greenbrier Rd, #420, Green Bay, WI 54308 Phone: 920-288-8400 Fax: 920-288-8461
Dr. John Cornelius Gallagher, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 2845 Greenbrier Rd, #480, Green Bay, WI 54308 Phone: 920-288-8400 Fax: 920-288-8463
Michael C O'toole, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2641 Development Drive, Green Bay, WI 54311 Phone: 920-338-6868 Fax: 920-338-6869
Anna Maria Guanzon, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 2845 Greenbrier Rd, Green Bay, WI 54311 Phone: 920-288-8000
Megan E Temp, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2641 Development Dr, Green Bay, WI 54311 Phone: 920-338-6868 Fax: 920-338-6869
Rebecca Caroline Pierson, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 2845 Greenbrier Rd, Green Bay, WI 54311 Phone: 920-288-8000

Allison Leigh Gustafson, MD - Medicare Obstetrics & Gynecology in Green Bay, WI