Dr Thomas R Gustafson, MD - Family Medicine in Pine City, NY

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Dr Thomas R Gustafson, MD is a Family Medicine physician based in Pine City, New York. Dr Thomas R Gustafson is licensed to practice in New York (license number 186217-1) and his current practice location is 1243 Pennsylvania Ave, Pine City, New York. He can be reached at his office (for appointments etc.) via phone at (607) 734-3929.

NPI number for Dr Thomas R Gustafson is 1720055528 and his current mailing address is 1 Guthrie Sq, Sayre, Pennsylvania. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1720055528.

Contact Information

Dr Thomas R Gustafson, MD
1243 Pennsylvania Ave,
Pine City, NY 14871-9230
(607) 734-3929
(607) 734-0781

Map and Direction




Physician's Profile

Full NameDr Thomas R Gustafson
GenderMale
SpecialityFamily Medicine
Location1243 Pennsylvania Ave, Pine City, New York
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1720055528
  • Provider Enumeration Date: 03/01/2006
  • Last Update Date: 07/29/2011

Medical Identifiers

Medical identifiers for Dr Thomas R Gustafson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1720055528NPI-NPPES
0012479510001MedicaidPA
01255774MedicaidNY
080173355OtherNYRR MEDICARE PIN
CC8362OtherNYRR MEDICARE GROUP

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine MD042588L (Pennsylvania)Secondary
207Q00000XFamily Medicine 186217-1 (New York)Primary

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 Thomas R Gustafson is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Thomas R Gustafson, MD
1 Guthrie Sq,
Sayre, PA 18840-1625

Ph: (570) 888-5858		Dr Thomas R Gustafson, MD
1243 Pennsylvania Ave,
Pine City, NY 14871-9230

Ph: (607) 734-3929

Reviews and Comments


Family Medicine Doctors in Pine City, NY

Dr. William Ridge Mcclintic, D.O.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 1243 Pennsylvania Ave, Pine City, NY 14871
Phone: 607-734-3929    Fax: 607-734-0781
Dr. Leslie Scott Rachlin, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1243 Pennsylvania Ave, Pine City, NY 14871
Phone: 607-734-3929    Fax: 607-734-0781
Robert W. Armstrong, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 1243 Pennsylvania Ave, Pine City, NY 14871
Phone: 607-734-3929    Fax: 607-734-0781

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.