Lynn K Gustafson, DPM | |
1421 Premiere Dr, Mankato Clinic @ Wickersham Campus, Mankato, MN 56001 | |
(507) 625-1811 | |
Not Available |
Full Name | Lynn K Gustafson |
---|---|
Gender | Female |
Speciality | Podiatry |
Experience | 34 Years |
Location | 1421 Premiere Dr, Mankato, Minnesota |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1124006143 | NPI | - | NPPES |
937961 | Other | MEDICAID (IOWA) | |
2700674 | Other | MEDICA (MN) | |
1M845GU | Other | BCBS (MN) | |
115542 | Other | UCARE (MN) | |
704325200 | Medicaid | MN | |
1753435 | Other | AMERICA'S PPO (MN) | |
HP26296 | Other | HEALTH PARTNERS (MN) | |
480018263 | Other | RR MEDICARE | |
NA2951011002 | Other | PREFERRED ONE (MN) |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | 492 (Minnesota) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mankato Clinic Ltd | 5597677955 | 193 |
Provider Name | Mankato Clinic Ltd |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1629044029 PECOS PAC ID: 5597677955 Enrollment ID: O20031104000231 |
Mailing Address | Practice Location Address |
---|---|
Lynn K Gustafson, DPM Po Box 8674, 1230 E Main St, Mankato, MN 56002-8674 Ph: (507) 625-1811 | Lynn K Gustafson, DPM 1421 Premiere Dr, Mankato Clinic @ Wickersham Campus, Mankato, MN 56001 Ph: (507) 625-1811 |
Justin Kenneth Metli, DPM, MA Podiatrist Medicare: Medicare Enrolled Practice Location: 1025 Marsh St, Mankato, MN 56001 Phone: 507-625-4031 | |
Dr. Darren Reed Cowl, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 65 Teton Ln, Mankato, MN 56001 Phone: 507-345-6960 Fax: 507-345-7040 | |
Dr. James Sidney Shaw, D.P.M. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 65 Teton Ln, Mankato, MN 56001 Phone: 507-345-3347 Fax: 507-345-7040 | |
James D Nack, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1421 Premier Dr, Mankato Clinic @ Wickersham Campus, Mankato, MN 56002 Phone: 507-625-1811 |