Paul Russell Gustavson, PA-C in Eureka, CA - Medicare Physician Assistant

Paul Russell Gustavson, PA-C is a medicare enrolled "Physician Assistant" in Eureka, California. His current practice location is 2826 Harris St, Eureka, California. You can reach out to his office (for appointments etc.) via phone at (707) 443-8066.

Paul Russell Gustavson is licensed to practice in California (license number PA17059) 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 1295754752.

Contact Information

	Paul Russell Gustavson, PA-C
	2826 Harris St, Eureka, CA 95503-4809
	(707) 443-8066
	(707) 268-3250

Map and Direction

Provider's Profile

Full Name	Paul Russell Gustavson
Gender	Male
Speciality	Physician Assistant
Location	2826 Harris St, Eureka, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1295754752
Provider Enumeration Date: 07/18/2006
Last Update Date: 11/02/2021

Medicare PECOS Information:

PECOS PAC ID: 1254223902
Enrollment ID: I20040326001042

Medical Identifiers

Medical identifiers for Paul Russell Gustavson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1295754752	NPI	-	NPPES
0PA170590	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	PA17059 (California)	Primary

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 Russell Gustavson 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
Paul Russell Gustavson, PA-C 2826 Harris St, Eureka, CA 95503-4809 Ph: (707) 443-8066	Paul Russell Gustavson, PA-C 2826 Harris St, Eureka, CA 95503-4809 Ph: (707) 443-8066

Reviews and Comments

Physician Assistant Nurses in Eureka, CA

Kathryn Stollmeyer, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2321 Harrison Ave, Eureka, CA 95501 Phone: 707-445-3660
Shubhangi B Deshmukh, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2725 Myrtle Ave, Eureka, CA 95501 Phone: 800-453-3030 Fax: 800-328-3091
Melissa Christine Long, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2700 Dolbeer St, Eureka, CA 95501 Phone: 707-445-8121
Abigail Krause, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2200 Tydd St, Eureka, CA 95501 Phone: 707-441-1624 Fax: 707-441-1253
John P Brimlow, PAC Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2505 Lucas St, Eureka, CA 95501 Phone: 707-445-3063 Fax: 707-442-6602
Kyle Allred, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2412 Buhne St, Eureka, CA 95501 Phone: 707-826-8633
Alisa Vickrey, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2200 Tydd St, Eureka, CA 95501 Phone: 707-441-1624 Fax: 707-441-1253

Paul Russell Gustavson, PA-C - Medicare Physician Assistant in Eureka, CA