Paul T Gustafson, DO - Medicare Surgery in Evanston, WY

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Paul T Gustafson, DO is a medicare enrolled "Surgery" physician in Evanston, Wyoming. His current practice location is 196 Arrowhead Dr, Ste 9, Evanston, Wyoming. You can reach out to his office (for appointments etc.) via phone at (307) 783-8280.

Paul T Gustafson is licensed to practice in Wyoming (license number TL#656) 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 1528033644.

Contact Information

Paul T Gustafson, DO
196 Arrowhead Dr, Ste 9,
Evanston, WY 82930-8752
(307) 783-8280
Not Available

Map and Direction




Physician's Profile

Full NamePaul T Gustafson
GenderMale
SpecialitySurgery
Location196 Arrowhead Dr, Evanston, Wyoming
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1528033644
  • Provider Enumeration Date: 02/22/2006
  • Last Update Date: 04/11/2008
  Medicare PECOS Information:
  • PECOS PAC ID: 5294703591
  • Enrollment ID: I20200319001541

Medical Identifiers

Medical identifiers for Paul T Gustafson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1528033644NPI-NPPES
314100OtherWYBCBS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery TL#656 (Wyoming)Primary
208600000XSurgery 2894 (Iowa)Secondary
208600000XSurgery 5101015864 (Michigan)Secondary

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. Paul T Gustafson allows following entities to bill medicare on his behalf.
Entity NameDrynachan Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891044657
PECOS PAC ID: 2264718824
Enrollment ID: O20170824001273
Entity NameSignify Health Medical Associates Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750845863
PECOS PAC ID: 2163764424
Enrollment ID: O20190507001451

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. Paul T 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
Paul T Gustafson, DO
7100 Commerce Way, Suite 180,
Brentwood, TN 37027-2829

Ph: (615) 465-7000		Paul T Gustafson, DO
196 Arrowhead Dr, Ste 9,
Evanston, WY 82930-8752

Ph: (307) 783-8280

Reviews and Comments


Surgery Doctors in Evanston, WY

Dr. Jared Breck Barton, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 191 Overthrust Rd, Evanston, WY 82930
Phone: 307-789-8721    Fax: 307-789-8664
Dr. Gregory M Yasuda, MD
Surgery
Medicare: Medicare Enrolled
Practice Location: 75 Yellow Creek Rd Ste 101, Evanston, WY 82930
Phone: 307-789-7777    Fax: 307-789-8888
Ian James Kendrick, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 190 Arrowhead Dr, Evanston, WY 82930
Phone: 307-783-8255    Fax: 307-783-8167

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.