Olaf Jonathan Rustad, MD in White Bear Lake, MN

Olaf Jonathan Rustad, MD is a medicare enrolled "Dermatology" physician in White Bear Lake, Minnesota. He graduated from medical school in 1989 and has 35 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice Advanced Dermatology Care Medical Cosmetic And Surgery Pa and his current practice location is 4480 Centerville Road, White Bear Lake, Minnesota. You can reach out to his office (for appointments etc.) via phone at (651) 484-2724.

Olaf Jonathan Rustad is licensed to practice in Minnesota (license number 1938363) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1174586440.

Contact Information

	Olaf Jonathan Rustad, MD
	4480 Centerville Road, White Bear Lake, MN 55127-3674
	(651) 484-2724
	(651) 484-2723

Map and Direction

Physician's Profile

Full Name	Olaf Jonathan Rustad
Gender	Male
Speciality	Dermatology
Experience	35 Years
Location	4480 Centerville Road, White Bear Lake, Minnesota
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Olaf Jonathan Rustad graduated from medical school in 1989

NPI Data:

NPI Number: 1174586440
Provider Enumeration Date: 04/08/2006
Last Update Date: 09/29/2010

Medicare PECOS Information:

PECOS PAC ID: 3274522651
Enrollment ID: I20050819000347

Medical Identifiers

Medical identifiers for Olaf Jonathan Rustad such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174586440	NPI	-	NPPES
070003227	Other		RR MEDICARE PIN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207N00000X	Dermatology	1938363 (Minnesota)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Advanced Dermatology Care Medical Cosmetic And Surgery Pa	4385633767	7

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. Olaf Jonathan Rustad allows following entities to bill medicare on his behalf.

Entity Name	Advanced Dermatology Care Medical Cosmetic And Surgery Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073614558 PECOS PAC ID: 4385633767 Enrollment ID: O20040511000150

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. Olaf Jonathan Rustad 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
Olaf Jonathan Rustad, MD 4480 Centerville Road, White Bear Lake, MN 55127-3674 Ph: (651) 484-2724	Olaf Jonathan Rustad, MD 4480 Centerville Road, White Bear Lake, MN 55127-3674 Ph: (651) 484-2724

Olaf Jonathan Rustad, MD - Medicare Dermatology in White Bear Lake, MN