Joshua Gustafson, MD is a medicare enrolled "Thoracic Surgery (cardiothoracic Vascular Surgery)" physician in Fort Sam Houston, Texas. His current practice location is
3551 Roger Brooke Dr, Fort Sam Houston, Texas. You can reach out to his office (for appointments etc.) via phone at
(210) 539-9582.
Joshua Gustafson is licensed to practice in Ohio (license number 35.126463) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1467687897.
Physician's Profile
| Full Name | Joshua Gustafson |
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| Gender | Male |
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| Speciality | Thoracic Surgery (cardiothoracic Vascular Surgery) |
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| Location | 3551 Roger Brooke Dr, Fort Sam Houston, Texas |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1467687897
- Provider Enumeration Date: 05/29/2009
- Last Update Date: 05/07/2021
Medicare PECOS Information:
- PECOS PAC ID: 1850529660
- Enrollment ID: I20210428000352
Medical Identifiers
Medical identifiers for Joshua Gustafson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1467687897 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208600000X | Surgery | A158674 (California) | Secondary |
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 35.126463 (Ohio) | 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. Joshua Gustafson allows following entities to bill medicare on his behalf.
| Entity Name | Mercy Medical Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1700834165
PECOS PAC ID: 4183535271
Enrollment ID: O20031215000145 |
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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. Joshua 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 |
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Joshua Gustafson, MD
3551 Roger Brooke Dr,
Fort Sam Houston, TX 78234-4504
Ph: (210) 539-9582 | Joshua Gustafson, MD
3551 Roger Brooke Dr,
Fort Sam Houston, TX 78234-4504
Ph: (210) 539-9582 |
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