Heather Gustafson, CRNA in Melbourne, FL - Medicare Nurse Anesthetist, Certified Registered

Heather Gustafson, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Melbourne, Florida. Her current practice location is 2405 Kingdom Ave, Melbourne, Florida. You can reach out to her office (for appointments etc.) via phone at (321) 482-6483.

Heather Gustafson is licensed to practice in North Dakota (license number R53904) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1972982148.

Contact Information

	Heather Gustafson, CRNA
	2405 Kingdom Ave, Melbourne, FL 32934-7585
	(321) 482-6483
	Not Available

Map and Direction

Provider's Profile

Full Name	Heather Gustafson
Gender	Female
Speciality	Nurse Anesthetist, Certified Registered
Location	2405 Kingdom Ave, Melbourne, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1972982148
Provider Enumeration Date: 05/21/2015
Last Update Date: 04/09/2024

Medicare PECOS Information:

PECOS PAC ID: 1355643891
Enrollment ID: I20151230001208

Medical Identifiers

Medical identifiers for Heather Gustafson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1972982148	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	RN9283758 (Florida)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	APRN9283758 (Florida)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	R53904 (North Dakota)	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. Heather Gustafson allows following entities to bill medicare on her behalf.

Entity Name	Central Brevard Anesthesiologists Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205875671 PECOS PAC ID: 3577477314 Enrollment ID: O20031118000796

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. Heather 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
Heather Gustafson, CRNA 2405 Kingdom Ave, Melbourne, FL 32934-7585 Ph: (321) 482-6483	Heather Gustafson, CRNA 2405 Kingdom Ave, Melbourne, FL 32934-7585 Ph: (321) 482-6483

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Melbourne, FL

Barry T Roberts, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1304 Oak St, Melbourne, FL 32901 Phone: 321-723-4723 Fax: 321-727-1448
Thomas Harold Pierce, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2134 Nebula Way Unit 101, Melbourne, FL 32904 Phone: 256-990-5466
Patricia Ann Sullivan-liebig, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 282 Oak Haven Dr, Melbourne, FL 32940 Phone: 321-863-6531 Fax: 321-254-6196
Sandra Jean Bess, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 625 Sandpiper Cir, Melbourne, FL 32901 Phone: 321-727-8071 Fax: 321-727-8071
Christine L Croskey, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1340 Medical Park Dr, Ste 101, Melbourne, FL 32901 Phone: 321-729-9493
Patricia Navara, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1304 Oak St, Melbourne, FL 32901 Phone: 321-723-4723 Fax: 321-727-1448
Kandee G Coppala, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1304 Oak St, Melbourne, FL 32901 Phone: 321-723-4723 Fax: 321-727-1448

Heather Gustafson, CRNA - Medicare Nurse Anesthetist, Certified Registered in Melbourne, FL