Dr Mark Gustafson, MD | |
1802 Braeburn Dr, Salem, VA 24153-7357 | |
(540) 772-3520 | |
(540) 772-5975 |
Full Name | Dr Mark Gustafson |
---|---|
Gender | Male |
Speciality | Obstetrics/gynecology |
Experience | 42 Years |
Location | 1802 Braeburn Dr, Salem, Virginia |
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 |
---|---|---|---|
1134108756 | NPI | - | NPPES |
P00276916 | Other | VA | MEDICARE RAILROAD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207VG0400X | Obstetrics & Gynecology - Gynecology | 0101038915 (Virginia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Lewisgale Medical Center | Salem, VA | Hospital |
Carilion Medical Center | Roanoke, VA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Lewis Gale Physicians Llc | 6507886231 | 187 |
Entity Name | Lewis Gale Physicians Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902977705 PECOS PAC ID: 6507886231 Enrollment ID: O20051128000164 |
Mailing Address | Practice Location Address |
---|---|
Dr Mark Gustafson, MD 1802 Braeburn Dr, Salem, VA 24153-7357 Ph: (540) 772-3520 | Dr Mark Gustafson, MD 1802 Braeburn Dr, Salem, VA 24153-7357 Ph: (540) 772-3520 |
Christopher C Keeley, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1900 Electric Rd, Suite 1020, Salem, VA 24153 Phone: 540-772-3680 Fax: 540-772-3679 | |
John L Harding, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1900 Electric Rd, Suite 1020, Salem, VA 24153 Phone: 540-772-3680 Fax: 540-772-3679 | |
Elizabeth C Barwick, DO Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1802 Braeburn Dr, Salem, VA 24153 Phone: 540-772-3520 Fax: 540-772-5975 | |
Ms. Sara E Perez-torres, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1970 Roanoke Blvd, Salem, VA 24153 Phone: 540-982-2463 Fax: 540-224-1945 |