Daniel T Gustafson, PHD | |
752 N High Point Rd, Madison, WI 53717-2236 | |
(608) 824-4000 | |
(608) 824-4938 |
Full Name | Daniel T Gustafson |
---|---|
Gender | Male |
Speciality | Clinical Psychologist |
Experience | 27 Years |
Location | 752 N High Point Rd, Madison, Wisconsin |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1649212390 | NPI | - | NPPES |
1649212390 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | 2188-057 (Wisconsin) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Dean Health Systems Inc | 7012827983 | 1054 |
Entity Name | Dean Health Systems Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053358846 PECOS PAC ID: 7012827983 Enrollment ID: O20031105000584 |
Mailing Address | Practice Location Address |
---|---|
Daniel T Gustafson, PHD 752 N High Point Rd, Madison, WI 53717-2236 Ph: (608) 824-4800 | Daniel T Gustafson, PHD 752 N High Point Rd, Madison, WI 53717-2236 Ph: (608) 824-4000 |
Dr. Elliot Aaron Tebbe, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 419 S Mills St, Madison, WI 53715 Phone: 320-339-9992 | |
Dr. Travis Fox, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4513 Vernon Blvd Ste 100, Madison, WI 53705 Phone: 503-730-0072 | |
Blake Bettis, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1750 Fordem Ave Apt 704, Madison, WI 53704 Phone: 470-331-2534 | |
Ms. Patricia Ann Hanson, PH D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 7633 Ganser Way, Ste 204, Madison, WI 53719 Phone: 608-829-1800 Fax: 608-829-1885 | |
Dr. David C. Lee, PHD, JD Psychologist Medicare: Medicare Enrolled Practice Location: 1713 Camelot Dr, Madison, WI 53705 Phone: 608-301-1047 Fax: 608-301-1390 | |
Mr. Harvey Hilbert Honig, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 122 E Olin Ave, Ste 220, Madison, WI 53713 Phone: 608-255-9119 Fax: 608-255-9219 | |
Alyssa Walsh, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1500 Highland Ave, Madison, WI 53705 Phone: 608-263-3301 |