Thomas W Gunderson, is a
Registered Nurse - Critical Care Medicine based in Winnebago, Illinois. Thomas W Gunderson is licensed to practice in Illinois (license number 041.339921) and his current practice location is
509 Zierke Ct, Winnebago, Illinois. He can be reached at his office (for appointments etc.) via phone at
(815) 980-1282.
NPI number for Thomas W Gunderson is 1770248528 and his current mailing address is 509 Zierke Ct, Winnebago, Illinois. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1770248528.
Provider's Profile
Full Name | Thomas W Gunderson |
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Gender | Male |
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Speciality | Registered Nurse - Critical Care Medicine |
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Location | 509 Zierke Ct, Winnebago, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1770248528
- Provider Enumeration Date: 11/06/2021
- Last Update Date: 11/06/2021
Medical Identifiers
Medical identifiers for Thomas W Gunderson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1770248528 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163WC0200X | Registered Nurse - Critical Care Medicine | 041.339921 (Illinois) | 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. Thomas W Gunderson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Thomas W Gunderson, 509 Zierke Ct, Winnebago, IL 61088-8322 Ph: (815) 980-1282 | Thomas W Gunderson, 509 Zierke Ct, Winnebago, IL 61088-8322 Ph: (815) 980-1282 |
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