Dr Paula Ann Gustafson, MD is a medicare enrolled "Pediatrics" physician in Shelbyville, Indiana. Her current practice location is
30 W Rampart St, Shelbyville, Indiana. You can reach out to her office (for appointments etc.) via phone at
(317) 398-7337.
Dr Paula Ann Gustafson is licensed to practice in Indiana (license number 01044150A) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1770511305.
Physician's Profile
Full Name | Dr Paula Ann Gustafson |
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Gender | Female |
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Speciality | Pediatrics |
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Location | 30 W Rampart St, Shelbyville, Indiana |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1770511305
- Provider Enumeration Date: 06/30/2006
- Last Update Date: 01/14/2014
Medicare PECOS Information:
- PECOS PAC ID: 5991891442
- Enrollment ID: I20071016000085
Medical Identifiers
Medical identifiers for Dr Paula Ann Gustafson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1770511305 | NPI | - | NPPES |
200141250A | Medicaid | IN | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | 01044150A (Indiana) | 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 Paula Ann Gustafson allows following entities to bill medicare on her behalf.
Entity Name | Major Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1174555692 PECOS PAC ID: 0446167415 Enrollment ID: O20040108000586 |
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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 Paula Ann 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 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 |
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