Faith A Gustafson, PA-C is a medicare enrolled "Physician Assistant - Medical" in Cumberland, Wisconsin. She graduated from nursing school in 2002 and has 22 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice St. Croix Regional Medical Center and her current practice location is
1475 Webb St, Cumberland, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(717) 822-2231.
Faith A Gustafson is licensed to practice in Wisconsin (license number 1677-023) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1356348858.
Provider's Profile
| Full Name | Faith A Gustafson |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 22 Years |
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| Location | 1475 Webb St, Cumberland, Wisconsin |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Faith A Gustafson graduated from nursing school in 2002
NPI Data:
- NPI Number: 1356348858
- Provider Enumeration Date: 06/30/2005
- Last Update Date: 07/09/2007
Medicare PECOS Information:
- PECOS PAC ID: 5698676062
- Enrollment ID: I20040119000172
Medical Identifiers
Medical identifiers for Faith A Gustafson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1356348858 | NPI | - | NPPES |
| 41981700 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363AS0400X | Physician Assistant - Surgical | 1677-023 (Wisconsin) | Primary |
| 363AM0700X | Physician Assistant - Medical | 1677-023 (Wisconsin) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| St. Croix Regional Medical Center | 9335032184 | 147 |
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. Faith A 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 |
|---|
Faith A Gustafson, PA-C
1475 Webb St,
Cumberland, WI 54829-9187
Ph: (717) 822-2231 | Faith A Gustafson, PA-C
1475 Webb St,
Cumberland, WI 54829-9187
Ph: (717) 822-2231 |
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