Jodi E Gustave, MD in Wilmington, DE

Jodi E Gustave, MD is a medicare enrolled "Pediatrics - Pediatric Pulmonology" physician in Wilmington, Delaware. Her current practice location is 1600 Rockland Rd, Wilmington, Delaware. You can reach out to her office (for appointments etc.) via phone at (302) 651-4200.

Jodi E Gustave is licensed to practice in Delaware (license number C10011083) 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 1174554190.

Contact Information

	Jodi E Gustave, MD
	1600 Rockland Rd, Wilmington, DE 19803-3607
	(302) 651-4200
	(302) 651-4945

Map and Direction

Physician's Profile

Full Name	Jodi E Gustave
Gender	Female
Speciality	Pediatrics - Pediatric Pulmonology
Location	1600 Rockland Rd, Wilmington, Delaware
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1174554190
Provider Enumeration Date: 07/06/2006
Last Update Date: 03/17/2018

Medicare PECOS Information:

PECOS PAC ID: 6305836057
Enrollment ID: I20090122000740

Medical Identifiers

Medical identifiers for Jodi E Gustave such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174554190	NPI	-	NPPES
101141866	Medicaid	PA
0050539	Medicaid	NJ
1655572	Other	PA	BLUE SHIELD
406294900	Medicaid	MD

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	095362 (Ohio)	Secondary
208000000X	Pediatrics	062994 (Georgia)	Secondary
208000000X	Pediatrics	MD421678 (Pennsylvania)	Secondary
2080P0204X	Pediatrics - Pediatric Emergency Medicine	MD421678 (Pennsylvania)	Secondary
2080P0214X	Pediatrics - Pediatric Pulmonology	25MA08162100 (New Jersey)	Secondary
208M00000X	Hospitalist	MD421678 (Pennsylvania)	Secondary
2080P0214X	Pediatrics - Pediatric Pulmonology	C10011083 (Delaware)	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. Jodi E Gustave allows following entities to bill medicare on her behalf.

Entity Name	Cooper Pediatric Specialists, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1306867585 PECOS PAC ID: 9335211317 Enrollment ID: O20080708000593

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. Jodi E Gustave 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
Jodi E Gustave, MD Po Box 191, Rockland, DE 19732-0191 Ph: (302) 651-6212	Jodi E Gustave, MD 1600 Rockland Rd, Wilmington, DE 19803-3607 Ph: (302) 651-4200

Reviews and Comments

Pediatrics Doctors in Wilmington, DE

Joanna Costa, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1600 Rockland Rd, Wilmington, DE 19803 Phone: 302-651-5795
Salwa Elizabeth Sulieman, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 1600 Rockland Rd, Wilmington, DE 19803 Phone: 302-651-4200
Shahryar Tariq Rana, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3120 Naamans Rd, Wilmington, DE 19810 Phone: 386-508-0486
Dr. Henrietta M. Mahoney, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: Nemours Pediatrics Philadelphia Pike, 222 Philadelphia Pike, Wilmington, DE 19809 Phone: 302-761-4660 Fax: 302-761-4666
Dr. Francis Njeuma Mase, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 700 W Lea Blvd, Suite 209, Wilmington, DE 19802 Phone: 302-762-5656 Fax: 302-762-5699
Barry Dashefsky, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1600 Rockland Rd, Wilmington, DE 19803 Phone: 302-651-4200
Dr. Frances R. Zappalla, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: A.i. Dupont Hospital For Children, 1600 Rockland Road, Wilmington, DE 19803 Phone: 302-651-4000 Fax: 302-651-4945

Jodi E Gustave, MD - Medicare Pediatrics in Wilmington, DE