Mrs Eva Marie Gustafson, PT - Physical Therapist in Port Wing, WI

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Mrs Eva Marie Gustafson, PT is a Physical Therapist based in Port Wing, Wisconsin. Mrs Eva Marie Gustafson is licensed to practice in Wisconsin (license number 4231-024) and her current practice location is 7830 State Highway 13, Port Wing, Wisconsin. She can be reached at her office (for appointments etc.) via phone at (715) 774-3195.

NPI number for Mrs Eva Marie Gustafson is 1730352758 and her current mailing address is 7830 State Highway 13, Port Wing, Wisconsin. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1730352758.

Contact Information

Mrs Eva Marie Gustafson, PT
7830 State Highway 13,
Port Wing, WI 54865-4721
(715) 774-3195
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameMrs Eva Marie Gustafson
GenderFemale
SpecialityPhysical Therapist
Location7830 State Highway 13, Port Wing, Wisconsin
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1730352758
  • Provider Enumeration Date: 04/10/2008
  • Last Update Date: 04/10/2008

Medical Identifiers

Medical identifiers for Mrs Eva Marie Gustafson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1730352758NPI-NPPES
40163400MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist 4231-024 (Wisconsin)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. Mrs Eva Marie Gustafson 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 AddressPractice Location Address
Mrs Eva Marie Gustafson, PT
7830 State Highway 13,
Port Wing, WI 54865-4721

Ph: (715) 774-3195		Mrs Eva Marie Gustafson, PT
7830 State Highway 13,
Port Wing, WI 54865-4721

Ph: (715) 774-3195

Reviews and Comments


Physical Therapist in Port Wing, WI


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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.

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