Holly Barron Gustafson, MD - Medicare Internal Medicine in St Louis Park, MN

Holly Barron Gustafson, MD is a medicare enrolled "Internal Medicine" physician in St Louis Park, Minnesota. She went to University Of Minnesota Medical School and graduated in 2005 and has 19 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice North Memorial Health Care and her current practice location is 3800 Park Nicollet Blvd, St Louis Park, Minnesota. You can reach out to her office (for appointments etc.) via phone at (952) 993-3123.

Holly Barron Gustafson is licensed to practice in Minnesota (license number 18672) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1689842007.

Contact Information

Holly Barron Gustafson, MD
3800 Park Nicollet Blvd,
St Louis Park, MN 55416-2527
(952) 993-3123
Not Available

Map and Direction




Physician's Profile

Full NameHolly Barron Gustafson
GenderFemale
SpecialityInternal Medicine
Experience19 Years
Location3800 Park Nicollet Blvd, St Louis Park, Minnesota
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Holly Barron Gustafson attended and graduated from University Of Minnesota Medical School in 2005
  NPI Data:
  • NPI Number: 1689842007
  • Provider Enumeration Date: 02/19/2008
  • Last Update Date: 01/04/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 5991861643
  • Enrollment ID: I20090304000229

Medical Identifiers

Medical identifiers for Holly Barron Gustafson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1689842007NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 18672 (Minnesota)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
North Memorial Health Care0042123028474

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. Holly Barron Gustafson allows following entities to bill medicare on her behalf.
Entity NamePark Nicollet Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780621904
PECOS PAC ID: 7911819438
Enrollment ID: O20031104000046
Entity NameNorth Memorial Health Care
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1851344907
PECOS PAC ID: 0042123028
Enrollment ID: O20040122000470

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. Holly Barron 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 AddressPractice Location Address
Holly Barron Gustafson, MD
3800 Park Nicollet Blvd,
St Louis Park, MN 55416-2527

Ph: (952) 993-3123
Holly Barron Gustafson, MD
3800 Park Nicollet Blvd,
St Louis Park, MN 55416-2527

Ph: (952) 993-3123

Reviews and Comments


Internal Medicine Doctors in St Louis Park, MN

Cara Houle, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 6500 Excelsior Blvd, St Louis Park, MN 55426
Phone: 952-993-5000    
Janet Grayson, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 6500 Excelsior Blvd, St Louis Park, MN 55426
Phone: 952-993-6600    
Keith Harmon, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 6490 Excelsior Blvd, Suite W300, St Louis Park, MN 55426
Phone: 952-993-3242    
Jeffrey J Shultz,
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 6500 Excelsior Blvd, Park Nicollet Clinic - Heart & Vascular Center, St Louis Park, MN 55426
Phone: 952-993-3246    Fax: 952-993-3010
Amanda J Calvin, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3931 Louisiana Ave S, St Louis Park, MN 55426
Phone: 952-993-3230    
Sarah Evert,
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3850 Park Nicollet Blvd, St Louis Park, MN 55416
Phone: 952-993-3025    
Stevie Maxwell, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 6500 Excelsior Blvd, St Louis Park, MN 55426
Phone: 952-993-5000    

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.