Susan E Gustafson, PA-C in Jamestown, NY - Medicare Physician Assistant

Susan E Gustafson, PA-C is a medicare enrolled "Physician Assistant" in Jamestown, New York. She graduated from nursing school in 2013 and has 11 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Rpci Oncology, Pc and her current practice location is 21 Porter Ave, Jamestown, New York. You can reach out to her office (for appointments etc.) via phone at (716) 664-1909.

Susan E Gustafson is licensed to practice in New York (license number 016685) 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 1417393927.

Contact Information

	Susan E Gustafson, PA-C
	21 Porter Ave, Jamestown, NY 14701-6247
	(716) 664-1909
	(716) 664-2214

Map and Direction

Provider's Profile

Full Name	Susan E Gustafson
Gender	Female
Speciality	Physician Assistant
Experience	11 Years
Location	21 Porter Ave, Jamestown, New York
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Susan E Gustafson graduated from nursing school in 2013

NPI Data:

NPI Number: 1417393927
Provider Enumeration Date: 05/13/2013
Last Update Date: 08/20/2021

Medicare PECOS Information:

PECOS PAC ID: 5092956466
Enrollment ID: I20130726000621

Medical Identifiers

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

Identifier	Type	State	Issuer
1417393927	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	MA060649 (Pennsylvania)	Secondary
363AM0700X	Physician Assistant - Medical	MA060649 (Pennsylvania)	Secondary
363A00000X	Physician Assistant	016685 (New York)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Upmc Chautauqua At Wca	Jamestown, NY	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Rpci Oncology, Pc	3870731029	42

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. Susan E 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
Susan E Gustafson, PA-C 21 Porter Ave, Jamestown, NY 14701-6247 Ph: (716) 664-1909	Susan E Gustafson, PA-C 21 Porter Ave, Jamestown, NY 14701-6247 Ph: (716) 664-1909

Reviews and Comments

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Susan E Gustafson, PA-C - Medicare Physician Assistant in Jamestown, NY