Jean M Gustafson, MD - Medicare Family Practice in Bismarck, ND

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Jean M Gustafson, MD is a medicare enrolled "Family Medicine" physician in Bismarck, North Dakota. She went to University Of North Dakota School Of Medicine and graduated in 2011 and has 13 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Innovis Health Llc and her current practice location is 401 N 9th St, Bismarck, North Dakota. You can reach out to her office (for appointments etc.) via phone at (701) 712-4500.

Jean M Gustafson is licensed to practice in North Dakota (license number RL11912) 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 1437445442.

Contact Information

Jean M Gustafson, MD
401 N 9th St,
Bismarck, ND 58501-4530
(701) 712-4500
(701) 712-4011

Map and Direction




Physician's Profile

Full NameJean M Gustafson
GenderFemale
SpecialityFamily Practice
Experience13 Years
Location401 N 9th St, Bismarck, North Dakota
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:
  • Jean M Gustafson attended and graduated from University Of North Dakota School Of Medicine in 2011
  NPI Data:
  • NPI Number: 1437445442
  • Provider Enumeration Date: 06/28/2011
  • Last Update Date: 05/16/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 8022236892
  • Enrollment ID: I20140820002441

Medical Identifiers

Medical identifiers for Jean M Gustafson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1437445442NPI-NPPES
12083MedicaidND

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine RL11912 (North Dakota)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Chi St Alexius HealthBismarck, NDHospital
Essentia HealthFargo, NDHospital
Sanford Medical Center BismarckBismarck, NDHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Innovis Health Llc9931298155478

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. Jean M Gustafson allows following entities to bill medicare on her behalf.
Entity NameMid Dakota Clinic, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275587826
PECOS PAC ID: 9638072895
Enrollment ID: O20040127001063
Entity NameInnovis Health Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215125463
PECOS PAC ID: 9931298155
Enrollment ID: O20071211000158

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. Jean M 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
Jean M Gustafson, MD
401 N 9th St,
Bismarck, ND 58501-4530

Ph: (701) 712-4524		Jean M Gustafson, MD
401 N 9th St,
Bismarck, ND 58501-4530

Ph: (701) 712-4500

Reviews and Comments


Family Medicine Doctors in Bismarck, ND

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James B Bossort, MD
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Olimpia Rauta, MD
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Dr. Jeremiah Jon Penn, MD
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Phone: 701-530-6000    Fax: 701-530-6422
Dr. Todd W Schaffer, MD
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Phone: 701-323-8300    Fax: 701-323-8305

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.