Carl Gustafson, PT in Wellesley, MA - Medicare Physical Therapy Provider

Carl Gustafson, PT is a medicare enrolled "Physical Therapist" provider in Wellesley, Massachusetts. He graduated from medical school in 1987 and has 37 years of diverse experience with area of expertise as Physical Therapy. He is a member of the group practice Children's Sports Medicine Foundation Inc and his current practice location is 2 Laurel Ave, Wellesley, Massachusetts. You can reach out to his office (for appointments etc.) via phone at (781) 237-5585.

Carl Gustafson is licensed to practice in Massachusetts (license number 6530) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1225119597.

Contact Information

	Carl Gustafson, PT
	2 Laurel Ave, Wellesley, MA 02481-7523
	(781) 237-5585
	(781) 237-5633

Map and Direction

Healthcare Provider's Profile

Full Name	Carl Gustafson
Gender	Male
Speciality	Physical Therapy
Experience	37 Years
Location	2 Laurel Ave, Wellesley, Massachusetts
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Carl Gustafson graduated from medical school in 1987

NPI Data:

NPI Number: 1225119597
Provider Enumeration Date: 10/17/2006
Last Update Date: 04/29/2016

Medicare PECOS Information:

PECOS PAC ID: 5092786525
Enrollment ID: I20120104000671

Medical Identifiers

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

Identifier	Type	State	Issuer
1225119597	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	6530 (Massachusetts)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Children's Sports Medicine Foundation Inc	7719901198	27

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. Carl Gustafson allows following entities to bill medicare on his behalf.

Provider Name	Children's Sports Medicine Foundation Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1740216811 PECOS PAC ID: 7719901198 Enrollment ID: O20060125000006

Provider Name	Carl Gustafson Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1356366082 PECOS PAC ID: 2567433097 Enrollment ID: O20120821000561

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. Carl 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
Carl Gustafson, PT 790 Remington Blvd, Bolingbrook, IL 60440-4909 Ph: (630) 296-2223	Carl Gustafson, PT 2 Laurel Ave, Wellesley, MA 02481-7523 Ph: (781) 237-5585

Reviews and Comments

Physical Therapist in Wellesley, MA

Colleen L Caligiuri, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2 Laurel Ave, Wellesley, MA 02481 Phone: 781-237-5585
Andrea Bristol, PT, DPT, CSCS Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 62 Walnut St, Wellesley, MA 02481 Phone: 781-235-5275
Amanda Nicole Kuczmiec, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2 Laurel Ave, Wellesley, MA 02481 Phone: 781-237-5585 Fax: 781-237-5633
Mr. Lawrence Ross, RPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2 Laurel Ave, Wellesley, MA 02481 Phone: 781-237-5585 Fax: 781-237-5633
Dr. Nancy J Roberge, PT DPT MED Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 148 Linden St, Ste B-8, Wellesley, MA 02482 Phone: 781-263-9977
Justin Dichio, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2 Laurel Ave, Wellesley, MA 02481 Phone: 781-237-5585
Christine Marie Sniezek, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2 Laurel Ave, Wellesley, MA 02481 Phone: 781-285-5082 Fax: 781-237-5633

Carl Gustafson, PT - Medicare Physical Therapist in Wellesley, MA