Tesha Gustafson, OD - Medicare Optometrist in Kenmare, ND

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Tesha Gustafson, OD is a medicare enrolled "Optometrist" provider in Kenmare, North Dakota. She went to Pacific University - College Of Optometry and graduated in 2016 and has 8 years of diverse experience with area of expertise as Optometry. Her current practice location is 28 2nd St Nw, Kenmare, North Dakota. You can reach out to her office (for appointments etc.) via phone at (701) 385-4004.

Tesha Gustafson is licensed to practice in North Dakota (license number 745) 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 1467807230.

Contact Information

Tesha Gustafson, OD
28 2nd St Nw,
Kenmare, ND 58746-7114
(701) 385-4004
(701) 385-4005

Map and Direction




Healthcare Provider's Profile

Full NameTesha Gustafson
GenderFemale
SpecialityOptometry
Experience8 Years
Location28 2nd St Nw, Kenmare, North Dakota
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Tesha Gustafson attended and graduated from Pacific University - College Of Optometry in 2016
  NPI Data:
  • NPI Number: 1467807230
  • Provider Enumeration Date: 04/29/2016
  • Last Update Date: 02/04/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 5597053207
  • Enrollment ID: I20161012002891

Medical Identifiers

Medical identifiers for Tesha Gustafson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1467807230NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist 745 (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. Tesha Gustafson allows following entities to bill medicare on her behalf.
Provider NameDavid Paul Colby
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1649243288
PECOS PAC ID: 1254460603
Enrollment ID: I20100524000910
Provider NameOptometry Clinic, Pc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1225686827
PECOS PAC ID: 5193158947
Enrollment ID: O20191209001363

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. Tesha 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 AddressPractice Location Address
Tesha Gustafson, OD
28 2nd St Nw,
Kenmare, ND 58746-7114

Ph: (701) 385-4004		Tesha Gustafson, OD
28 2nd St Nw,
Kenmare, ND 58746-7114

Ph: (701) 385-4004

Reviews and Comments


Optometrist in Kenmare, ND

Optometry Clinic, Pc
Optometrist
Medicare: Medicare Enrolled
Practice Location: 28 2nd St Nw, Kenmare, ND 58746
Phone: 701-385-4004    Fax: 701-385-4005
Optometry Clinic Of Kenmare
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 28 2nd St Nw, Kenmare, ND 58746
Phone: 701-385-4004    Fax: 701-385-4005
Dr. David Paul Colby, O.D.
Optometrist
Medicare: Medicare Enrolled
Practice Location: 28 2nd St Nw, Kenmare, ND 58746
Phone: 701-385-4004    Fax: 701-385-4005

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.