Ms Casey L Gustavison, ANP in Carbondale, IL - Medicare Nurse Practitioner

Ms Casey L Gustavison, ANP is a medicare enrolled "Nurse Practitioner" in Carbondale, Illinois. She graduated from nursing school in 2008 and has 16 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Deaconess Illinois Specialty Clinic, Inc. and her current practice location is 409 W Oak St, Carbondale, Illinois. You can reach out to her office (for appointments etc.) via phone at (618) 529-4455.

Ms Casey L Gustavison is licensed to practice in Illinois (license number 209008417) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1508004706.

Contact Information

	Ms Casey L Gustavison, ANP
	409 W Oak St, Carbondale, IL 62901-1464
	(618) 529-4455
	(618) 351-1287

Map and Direction

Provider's Profile

Full Name	Ms Casey L Gustavison
Gender	Female
Speciality	Nurse Practitioner
Experience	16 Years
Location	409 W Oak St, Carbondale, Illinois
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Ms Casey L Gustavison graduated from nursing school in 2008

NPI Data:

NPI Number: 1508004706
Provider Enumeration Date: 01/26/2009
Last Update Date: 10/30/2020

Medicare PECOS Information:

PECOS PAC ID: 2567529811
Enrollment ID: I20110325000726

Medical Identifiers

Medical identifiers for Ms Casey L Gustavison such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1508004706	NPI	-	NPPES
71002863B	Other	IN	CSR
PENDING	Medicaid	IN
71002863A	Other	IN	LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	209008417 (Illinois)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Heartland Regional Medical Center	Marion, IL	Hospital
St Louis University Hospital	Saint louis, MO	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Deaconess Illinois Specialty Clinic, Inc.	9830562016	81

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. Ms Casey L Gustavison allows following entities to bill medicare on her behalf.

Entity Name	Southern Illinois Medical Services Nfp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770656837 PECOS PAC ID: 3678677390 Enrollment ID: O20070404000595

Entity Name	Deaconess Illinois Specialty Clinic, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1972210235 PECOS PAC ID: 9830562016 Enrollment ID: O20230321001688

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. Ms Casey L Gustavison 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
Ms Casey L Gustavison, ANP Po Box 3988, Carbondale, IL 62902-3988 Ph: (618) 457-5200	Ms Casey L Gustavison, ANP 409 W Oak St, Carbondale, IL 62901-1464 Ph: (618) 529-4455

Reviews and Comments

Nurse Practitioner Nurses in Carbondale, IL

Miss Whitney Mcguire, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 305 W Jackson St Ste 103, Carbondale, IL 62901 Phone: 618-351-4972 Fax: 618-351-6522
Ashley Nicole Mitchell, APRN, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2601 W Main St, Carbondale, IL 62901 Phone: 618-549-5361 Fax: 618-351-4878
Natasha Charlyn Shafer, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1340 Cedar Ct Ste 202, Carbondale, IL 62901 Phone: 618-529-7821
Mrs. Jennifer Sue Campos, FNP-BC, CCRN, CMC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 405 W Jackson St, Carbondale, IL 62901 Phone: 618-549-0721
Lindsay B Casolari, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2601 W Main St, Carbondale, IL 62901 Phone: 618-549-5361 Fax: 618-351-4878
Ms. Heather Dawn Davis, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 305 W Jackson St Ste 206, Carbondale, IL 62901 Phone: 618-457-3006 Fax: 618-457-3008
Andrea Williams, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2601 W Main St, Carbondale, IL 62901 Phone: 618-549-5361 Fax: 618-351-4878

Ms Casey L Gustavison, ANP - Medicare Nurse Practitioner in Carbondale, IL