Andrew Roger Gustavson, MD | |
604 N Acadia Rd, Suite 411, Thibodaux, LA 70301-4897 | |
(985) 493-3090 | |
(985) 493-3091 |
Full Name | Andrew Roger Gustavson |
---|---|
Gender | Male |
Speciality | Neurology |
Experience | 32 Years |
Location | 604 N Acadia Rd, Thibodaux, Louisiana |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1538182118 | NPI | - | NPPES |
2169971 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | 204876 (Louisiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Kittitas Valley Community Hospital | Ellensburg, WA | Hospital |
Virginia Mason Memorial | Yakima, WA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Kittitas County Public Hospital Dist 1 | 0547179608 | 63 |
Entity Name | Kittitas County Public Hospital Dist 1 |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356375307 PECOS PAC ID: 0547179608 Enrollment ID: O20040213000046 |
Entity Name | Sunnyside Community Hospital Association |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609395060 PECOS PAC ID: 1658280896 Enrollment ID: O20040227000194 |
Entity Name | Shc Medical Center Toppenish |
---|---|
Entity Type | Part B Supplier - Hospital Department(s) |
Entity Identifiers | NPI Number: 1851817308 PECOS PAC ID: 4082980065 Enrollment ID: O20171018001921 |
Mailing Address | Practice Location Address |
---|---|
Andrew Roger Gustavson, MD Po Box 5478, Thibodaux, LA 70302-5478 Ph: (985) 493-3090 | Andrew Roger Gustavson, MD 604 N Acadia Rd, Suite 411, Thibodaux, LA 70301-4897 Ph: (985) 493-3090 |
Ebony Mckinnies, M,D, Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 726 N Acadia Rd Ste 2300, Thibodaux, LA 70301 Phone: 985-493-3090 | |
Dr. Derek Gerard Neupert, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 726 N Acadia Rd Ste 2300, Thibodaux, LA 70301 Phone: 985-493-3090 Fax: 985-493-3091 | |
Dr. Maria B Cruse, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 604 North Acadia Rd, Suite 201, Thibodaux, LA 70301 Phone: 985-493-9304 Fax: 985-493-9305 | |
Maria M Braud, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 970 S Acadia Rd, Ste C, Thibodaux, LA 70301 Phone: 985-447-1216 Fax: 985-447-1218 |