Dr Jennifer Ann Gustafson, OD - Medicare Optometrist in Boston, MA

Dr Jennifer Ann Gustafson, OD is a medicare enrolled "Optometrist - Low Vision Rehabilitation" provider in Boston, Massachusetts. Her current practice location is 150 S Huntington Ave, Boston, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (857) 364-5543.

Dr Jennifer Ann Gustafson is licensed to practice in New York (license number 007353) 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 1023271418.

Contact Information

Dr Jennifer Ann Gustafson, OD
150 S Huntington Ave,
Boston, MA 02130-4817
(857) 364-5543
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Jennifer Ann Gustafson
GenderFemale
SpecialityOptometrist - Low Vision Rehabilitation
Location150 S Huntington Ave, Boston, Massachusetts
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1023271418
  • Provider Enumeration Date: 07/07/2008
  • Last Update Date: 03/17/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 7214113893
  • Enrollment ID: I20160701000899

Medical Identifiers

Medical identifiers for Dr Jennifer Ann Gustafson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023271418NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist VUT 007353 (New York)Secondary
152WV0400XOptometrist - Vision Therapy 007353 (New York)Secondary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary
152WL0500XOptometrist - Low Vision Rehabilitation 007353 (New York)Primary

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. Dr Jennifer Ann 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 AddressPractice Location Address
Dr Jennifer Ann Gustafson, OD
150 S Huntington Ave # 8b-52,
Boston, MA 02130-4817

Ph: (857) 364-5543
Dr Jennifer Ann Gustafson, OD
150 S Huntington Ave,
Boston, MA 02130-4817

Ph: (857) 364-5543

Reviews and Comments


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