Thomas Hadley Gustafson, DPT in Niles, MI - Medicare Physical Therapist Provider

Thomas Hadley Gustafson, DPT is a medicare enrolled "Physical Therapist" provider in Niles, Michigan. His current practice location is 20 N 2nd St, Suite 3, Niles, Michigan. You can reach out to his office (for appointments etc.) via phone at (269) 687-9594.

Thomas Hadley Gustafson is licensed to practice in Michigan (license number 5501016024) 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 1407105612.

Contact Information

	Thomas Hadley Gustafson, DPT
	20 N 2nd St, Suite 3, Niles, MI 49120-2259
	(269) 687-9594
	(269) 687-9543

Map and Direction

Healthcare Provider's Profile

Full Name	Thomas Hadley Gustafson
Gender	Male
Speciality	Physical Therapist
Location	20 N 2nd St, Niles, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1407105612
Provider Enumeration Date: 09/04/2012
Last Update Date: 09/04/2012

Medicare PECOS Information:

PECOS PAC ID: 8224287255
Enrollment ID: I20121005000375

Medical Identifiers

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

Identifier	Type	State	Issuer
1407105612	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	5501016024 (Michigan)	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. Thomas Hadley Gustafson allows following entities to bill medicare on his behalf.

Provider Name	Center For Physical Rehabilitation And Therapy Lp
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1902288863 PECOS PAC ID: 0941513303 Enrollment ID: O20160721000298

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. Thomas Hadley 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
Thomas Hadley Gustafson, DPT 20 N 2nd St, Suite 3, Niles, MI 49120-2259 Ph: (269) 687-9594	Thomas Hadley Gustafson, DPT 20 N 2nd St, Suite 3, Niles, MI 49120-2259 Ph: (269) 687-9594

Reviews and Comments

Physical Therapist in Niles, MI

Ashish Nagar, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1211 Stateline Rd, Niles, MI 49120 Phone: 269-684-2810
Jordan Maxey, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 905 N Front St, Niles, MI 49120 Phone: 269-683-6800
Carrie Lynn Grellmann, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2 N Saint Joseph Ave, Niles, MI 49120 Phone: 269-687-1419
Wendy Elizabeth Ruppart, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 905 N Front St, Niles, MI 49120 Phone: 269-683-6800
Anna Margartet Linstromberg, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 905 N Front St, Niles, MI 49120 Phone: 269-683-6800
Ayren Makay Parrish, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 31 N Saint Joseph Ave, Niles, MI 49120 Phone: 269-683-5510
Leilani Bermeo, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6 Longmeadow Village Dr Ste 3, Niles, MI 49120 Phone: 269-687-0945 Fax: 169-687-0960

Thomas Hadley Gustafson, DPT - Medicare Physical Therapist in Niles, MI