Mary Kathryn Gustafson, DO | |
2815 S Seacrest Blvd, Boynton Beach, FL 33435-7969 | |
(561) 737-7733 | |
Not Available |
Full Name | Mary Kathryn Gustafson |
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Gender | Female |
Speciality | Physical Medicine & Rehabilitation |
Location | 2815 S Seacrest Blvd, Boynton Beach, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255892998 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208100000X | Physical Medicine & Rehabilitation | OS20988 (Florida) | Primary |
208100000X | Physical Medicine & Rehabilitation | 0102208132 (Virginia) | Secondary |
Entity Name | Mcv Associated Physicians |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710959457 PECOS PAC ID: 4385542117 Enrollment ID: O20031230000559 |
Mailing Address | Practice Location Address |
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Mary Kathryn Gustafson, DO 2815 S Seacrest Blvd, Boynton Beach, FL 33435-7969 Ph: (561) 699-6054 | Mary Kathryn Gustafson, DO 2815 S Seacrest Blvd, Boynton Beach, FL 33435-7969 Ph: (561) 737-7733 |
Trevor James Tyner, D.O. Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 1880 N Congress Ave Ste 224, Boynton Beach, FL 33426 Phone: 833-633-7760 | |
Dr. Charles W Graubert, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 3001 S Congress Ave, Boynton Beach, FL 33426 Phone: 561-737-5600 | |
Ian Nagle, PT Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 8198 S Jog Rd Ste 207, Boynton Beach, FL 33472 Phone: 561-740-2045 Fax: 561-740-2414 | |
Ryan Rosen, MD Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 1200 S Federal Hwy Ste 302, Boynton Beach, FL 33435 Phone: 561-509-9382 Fax: 561-509-9362 | |
Jonathan Blair Warford, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 2815 S Seacrest Blvd, Boynton Beach, FL 33435 Phone: 561-737-7733 | |
Dr. William S Berman, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 10301 Hagen Ranch Rd, Suite 3, Boynton Beach, FL 33437 Phone: 561-364-1079 Fax: 561-752-3461 |