Susan Gustafson, LP in Minneapolis, MN - Medicare Clinical Psychologist Provider

Susan Gustafson, LP is a medicare enrolled "Psychologist - Clinical" provider in Minneapolis, Minnesota. She graduated from medical school in 2001 and has 23 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Stone Arch Psychology And Health Services and her current practice location is 219 Se Main St Ste 400, Minneapolis, Minnesota. You can reach out to her office (for appointments etc.) via phone at (612) 886-2524.

Susan Gustafson is licensed to practice in Minnesota (license number LP3594) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1073686655.

Contact Information

	Susan Gustafson, LP
	219 Se Main St Ste 400, Minneapolis, MN 55414-2151
	(612) 886-2524
	(612) 886-2538

Map and Direction

Healthcare Provider's Profile

Full Name	Susan Gustafson
Gender	Female
Speciality	Clinical Psychologist
Experience	23 Years
Location	219 Se Main St Ste 400, Minneapolis, Minnesota
Accepts Medicare Assignments	May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Susan Gustafson graduated from medical school in 2001

NPI Data:

NPI Number: 1073686655
Provider Enumeration Date: 11/15/2006
Last Update Date: 08/04/2017

Medicare PECOS Information:

PECOS PAC ID: 8123084993
Enrollment ID: I20041203000117

Medical Identifiers

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

Identifier	Type	State	Issuer
1073686655	NPI	-	NPPES
025523800	Medicaid	FM
6153482	Other	MN	MEDICA CHOICE
HP49453	Other	MN	HEALTHPARTNERS
54P16GU	Other	MN	BCBS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	LP3594 (Minnesota)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Stone Arch Psychology And Health Services	6709045784	4

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. Susan Gustafson allows following entities to bill medicare on her behalf.

Entity Name	Stone Arch Psychology And Health Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124398607 PECOS PAC ID: 6709045784 Enrollment ID: O20120312000071

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. Susan 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
Susan Gustafson, LP 219 Se Main St Ste 400, Minneapolis, MN 55414-2151 Ph: (612) 886-2524	Susan Gustafson, LP 219 Se Main St Ste 400, Minneapolis, MN 55414-2151 Ph: (612) 886-2524

Reviews and Comments

Psychologist in Minneapolis, MN

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Dr. Kristi E. White, PH.D., LP Psychologist Medicare: Accepting Medicare Assignments Practice Location: 2700 E Lake St, Minneapolis, MN 55406 Phone: 612-873-6963 Fax: 612-276-0188
Patricia Lynn Layton, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3033 Excelsior Blvd, Suite 565, Minneapolis, MN 55416 Phone: 612-926-8802 Fax: 612-926-8915
Mary Melton, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 909 Fulton St Se, Building 2, Minneapolis, MN 55455 Phone: 612-672-7422
Dr. Virginia Anne Mcdermott, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 825 Nicollet Mall, Suite 1630, Minneapolis, MN 55402 Phone: 612-673-9988

Susan Gustafson, LP - Medicare Psychologist in Minneapolis, MN