Dr Terry John Gustafson, OD is a medicare enrolled "Optometrist" provider in Spanaway, Washington. His current practice location is
17416 Pacific Ave S, Spanaway, Washington. You can reach out to his office (for appointments etc.) via phone at
(253) 531-1388.
Dr Terry John Gustafson is licensed to practice in Washington (license number 1084) and he also participates in the medicare program. He
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1932197407.
Healthcare Provider's Profile
| Full Name | Dr Terry John Gustafson |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 17416 Pacific Ave S, Spanaway, Washington |
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| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Terry John Gustafson attended and graduated from in
NPI Data:
- NPI Number: 1932197407
- Provider Enumeration Date: 10/10/2005
- Last Update Date: 01/27/2009
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Terry John Gustafson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1932197407 | NPI | - | NPPES |
| 2008704 | Medicaid | WA | |
| 22875 | Other | WA | DEPT OF L & I |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | 1084 (Washington) | 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. Dr Terry John 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 |
|---|
Dr Terry John Gustafson, OD
17416 Pacific Ave So,
Spanaway, WA 98387-0728
Ph: (253) 531-1388 | Dr Terry John Gustafson, OD
17416 Pacific Ave S,
Spanaway, WA 98387-8263
Ph: (253) 531-1388 |
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