Dr Kevin Gustafson, MD in Saint Paul, MN

Dr Kevin Gustafson, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Saint Paul, Minnesota. His current practice location is 250 Thompson St, Saint Paul, Minnesota. You can reach out to his office (for appointments etc.) via phone at (651) 292-2000.

Dr Kevin Gustafson is licensed to practice in Minnesota (license number 26344) 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 1891745865.

Contact Information

	Dr Kevin Gustafson, MD
	250 Thompson St, Saint Paul, MN 55102-2370
	(651) 292-2000
	(651) 292-2136

Map and Direction

Physician's Profile

Full Name	Dr Kevin Gustafson
Gender	Male
Speciality	Radiology - Diagnostic Radiology
Location	250 Thompson St, Saint Paul, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1891745865
Provider Enumeration Date: 05/11/2006
Last Update Date: 04/25/2019

Medicare PECOS Information:

PECOS PAC ID: 5193620839
Enrollment ID: I20100525000696

Medical Identifiers

Medical identifiers for Dr Kevin Gustafson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1891745865	NPI	-	NPPES
425272100	Medicaid	MN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	26344 (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. Dr Kevin Gustafson allows following entities to bill medicare on his behalf.

Entity Name	Allina Health System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295272342 PECOS PAC ID: 4587573613 Enrollment ID: O20040319000460

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. Dr Kevin 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
Dr Kevin Gustafson, MD 4801 W 81st St, Suite 108, Bloomington, MN 55437-1111 Ph: (952) 837-9700	Dr Kevin Gustafson, MD 250 Thompson St, Saint Paul, MN 55102-2370 Ph: (651) 292-2000

Reviews and Comments

Radiology Doctors in Saint Paul, MN

Michael S Rosenberg, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 166 4th St E, Saint Paul, MN 55101 Phone: 651-292-2043 Fax: 651-292-2204
Joseph H Tashjian, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 166 4th St E, Saint Paul, MN 55101 Phone: 651-292-2043 Fax: 651-292-2204
Dr. Lorraine Laroy, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 250 Thompson St, Saint Paul, MN 55102 Phone: 651-292-2000 Fax: 651-292-2136
Dr. Paul Robert Oler Ii, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 250 Thompson St, Saint Paul, MN 55102 Phone: 651-292-2000
Christopher A Jackson, MD Radiology Medicare: Medicare Enrolled Practice Location: 166 4th St E, Saint Paul, MN 55101 Phone: 651-292-2043 Fax: 651-292-2204
Mckinley Cribbs Lawson, M.D., PH.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 250 Thompson St, Saint Paul, MN 55102 Phone: 651-292-2000
Kathryn E. Farniok, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 345 Sherman St, Saint Paul, MN 55102 Phone: 651-251-5500 Fax: 651-251-5555

Dr Kevin Gustafson, MD - Medicare Radiology in Saint Paul, MN