Brent Lee Gustafson, MD in Menomonee Falls, WI

Brent Lee Gustafson, MD is a medicare enrolled "Family Medicine" physician in Menomonee Falls, Wisconsin. He went to Medical College Of Wisconsin and graduated in 2019 and has 5 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Aurora Advanced Healthcare Inc and his current practice location is N84w16889 Menomonee Ave, Menomonee Falls, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (262) 251-7500.

Brent Lee Gustafson is licensed to practice in Wisconsin (license number 82122) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1841850997.

Contact Information

	Brent Lee Gustafson, MD
	N84w16889 Menomonee Ave, Menomonee Falls, WI 53051-2810
	(262) 251-7500
	(262) 532-1396

Map and Direction

Physician's Profile

Full Name	Brent Lee Gustafson
Gender	Male
Speciality	Family Practice
Experience	5 Years
Location	N84w16889 Menomonee Ave, Menomonee Falls, Wisconsin
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Brent Lee Gustafson attended and graduated from Medical College Of Wisconsin in 2019

NPI Data:

NPI Number: 1841850997
Provider Enumeration Date: 06/19/2019
Last Update Date: 09/07/2023

Medicare PECOS Information:

PECOS PAC ID: 0345577219
Enrollment ID: I20230630002862

Medical Identifiers

Medical identifiers for Brent Lee Gustafson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1841850997	NPI	-	NPPES
100242146	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	4301504906 (Michigan)	Secondary
207Q00000X	Family Medicine	82122 (Wisconsin)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Aurora Advanced Healthcare Inc	3375625833	928

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. Brent Lee Gustafson allows following entities to bill medicare on his behalf.

Entity Name	Aurora Advanced Healthcare Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1265629133 PECOS PAC ID: 3375625833 Enrollment ID: O20080123000694

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. Brent 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 Address	Practice Location Address
Brent Lee Gustafson, MD Po Box 735044, Chicago, IL 60673-5044 Ph: (262) 251-7500	Brent Lee Gustafson, MD N84w16889 Menomonee Ave, Menomonee Falls, WI 53051-2810 Ph: (262) 251-7500

Reviews and Comments

Family Medicine Doctors in Menomonee Falls, WI

Janell R Schulteis-wilson, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: N84w16889 Menomonee Ave, Menomonee Falls, WI 53051 Phone: 262-251-7500 Fax: 262-251-7128
Dr. Neil Hyde, MD Family Medicine Medicare: Medicare Enrolled Practice Location: W180n8000 Town Hall Rd, Menomonee Falls, WI 53051 Phone: 262-532-3265
Jennifer Weisgerber, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: W180n7950 Town Hall Rd, Menomonee Falls, WI 53051 Phone: 262-255-2500
Jeremy D. Topp, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: N84w16889 Menomonee Ave, Menomonee Falls, WI 53051 Phone: 252-251-7500 Fax: 262-251-7128
Dr. Karin Preethishia, MD Family Medicine Medicare: Medicare Enrolled Practice Location: Town Hall Health Center Family Medicine, 4th Floor, W180 N8000 Town Hall Road, Menomonee Falls, WI 53051 Phone: 262-532-3265
Mayowa Olalekan, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: W180n8000 Town Hall Rd, Menomonee Falls, WI 53051 Phone: 262-532-3265
Ada Ural Celik, DO Family Medicine Medicare: Medicare Enrolled Practice Location: N84w16889 Menomonee Ave, Menomonee Falls, WI 53051 Phone: 262-251-7500

Brent Lee Gustafson, MD - Medicare Family Practice in Menomonee Falls, WI