Mr Frank Warren Gustafson, RPT is a medicare enrolled "Physical Therapist" provider in Indian Wells, California. His current practice location is
45240 Club Drive, Indian Wells, California. You can reach out to his office (for appointments etc.) via phone at
(760) 200-3322.
Mr Frank Warren Gustafson is licensed to practice in California (license number PT14299) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1689746125.
Healthcare Provider's Profile
Full Name | Mr Frank Warren Gustafson |
---|
Gender | Male |
---|
Speciality | Physical Therapist |
---|
Location | 45240 Club Drive, Indian Wells, California |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1689746125
- Provider Enumeration Date: 11/13/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 1557340494
- Enrollment ID: I20040715000394
Medical Identifiers
Medical identifiers for Mr Frank Warren Gustafson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1689746125 | NPI | - | NPPES |
OPT142990 | Other | | BLUE SHIELD |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | PT14299 (California) | 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. Mr Frank Warren 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 |
Mr Frank Warren Gustafson, RPT 45240 Club Drive, Indian Wells, CA 92210 Ph: (760) 200-3322 | Mr Frank Warren Gustafson, RPT 45240 Club Drive, Indian Wells, CA 92210 Ph: (760) 200-3322 |
Reviews and Comments