Dana Gustafson, DPM in Maywood, IL - Medicare Podiatrist Provider

Dana Gustafson, DPM is a medicare enrolled "Podiatrist" provider in Maywood, Illinois. Her current practice location is 2160 S 1st Ave, Maywood, Illinois. You can reach out to her office (for appointments etc.) via phone at (708) 216-9000.

Dana Gustafson is licensed to practice in Illinois (license number 135.001016) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1407352289.

Contact Information

	Dana Gustafson, DPM
	2160 S 1st Ave, Maywood, IL 60153-3328
	(708) 216-9000
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dana Gustafson
Gender	Female
Speciality	Podiatrist
Location	2160 S 1st Ave, Maywood, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1407352289
Provider Enumeration Date: 04/02/2018
Last Update Date: 07/24/2018

Medicare PECOS Information:

PECOS PAC ID: 3870840655
Enrollment ID: I20230524001421

Medical Identifiers

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

Identifier	Type	State	Issuer
1407352289	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
213E00000X	Podiatrist	135.001016 (Illinois)	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. Dana Gustafson allows following entities to bill medicare on her behalf.

Provider Name	Betsy Brogan Dpm Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1972810562 PECOS PAC ID: 9931096294 Enrollment ID: O20040302000226

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. Dana 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
Dana Gustafson, DPM 2160 S 1st Ave, Maywood, IL 60153-3328 Ph: (989) 513-3585	Dana Gustafson, DPM 2160 S 1st Ave, Maywood, IL 60153-3328 Ph: (708) 216-9000

Reviews and Comments

Podiatrist in Maywood, IL

Dr. Bryce Andrew Paschold, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 708-216-4254
Dr. John Junil Kim, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 708-216-6906
Mohammed Aslam, Podiatrist Medicare: Medicare Enrolled Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 888-584-7888
Francis Rottier, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 2160 S First Ave, Maguire Center, Room 1700, Maywood, IL 60153 Phone: 708-216-9000 Fax: 708-216-1225
Nikita Grama, Podiatrist Medicare: Medicare Enrolled Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 888-584-7888
Jill Patel, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 708-216-4254
Dr. Katherine Elizabeth Dux, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 708-216-4254 Fax: 708-216-1225

Dana Gustafson, DPM - Medicare Podiatrist in Maywood, IL