Dr Paula Ann Gustafson, MD | |
30 W Rampart St, Shelbyville, IN 46176-8897 | |
(317) 398-7337 | |
Not Available |
Full Name | Dr Paula Ann Gustafson |
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Gender | Female |
Speciality | Pediatrics |
Location | 30 W Rampart St, Shelbyville, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1770511305 | NPI | - | NPPES |
200141250A | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 01044150A (Indiana) | Primary |
Entity Name | Major Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174555692 PECOS PAC ID: 0446167415 Enrollment ID: O20040108000586 |
Mailing Address | Practice Location Address |
---|---|
Dr Paula Ann Gustafson, MD 3625 Woodfield Pl, Columbus, IN 47203-1230 Ph: (812) 379-4382 | Dr Paula Ann Gustafson, MD 30 W Rampart St, Shelbyville, IN 46176-8897 Ph: (317) 398-7337 |
Anthony Joseph Damore, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2451 Intelliplex Dr Ste 240, Shelbyville, IN 46176 Phone: 317-398-7337 | |
Kelly Marie Meyer, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 2451 Intelliplex Dr Ste 240, Shelbyville, IN 46176 Phone: 317-398-7337 Fax: 317-398-1862 | |
Evan Ray Eckart, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 30 W Rampart St, Suite 170, Shelbyville, IN 46176 Phone: 317-398-7537 Fax: 317-421-0372 |