Thomas Hadley Gustafson, DPT - Medicare Physical Therapist in Niles, MI

Thomas Hadley Gustafson, DPT is a medicare enrolled "Physical Therapist" provider in Niles, Michigan. His current practice location is 20 N 2nd St, Suite 3, Niles, Michigan. You can reach out to his office (for appointments etc.) via phone at (269) 687-9594.

Thomas Hadley Gustafson is licensed to practice in Michigan (license number 5501016024) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1407105612.

Contact Information

Thomas Hadley Gustafson, DPT
20 N 2nd St, Suite 3,
Niles, MI 49120-2259
(269) 687-9594
(269) 687-9543

Map and Direction




Healthcare Provider's Profile

Full NameThomas Hadley Gustafson
GenderMale
SpecialityPhysical Therapist
Location20 N 2nd St, Niles, Michigan
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1407105612
  • Provider Enumeration Date: 09/04/2012
  • Last Update Date: 09/04/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 8224287255
  • Enrollment ID: I20121005000375

Medical Identifiers

Medical identifiers for Thomas Hadley Gustafson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1407105612NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist 5501016024 (Michigan)Primary

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. Thomas Hadley Gustafson allows following entities to bill medicare on his behalf.
Provider NameCenter For Physical Rehabilitation And Therapy Lp
Provider TypePart B Supplier - Physical/occupational Therapy Group In Private Practice
Provider IdentifiersNPI Number: 1902288863
PECOS PAC ID: 0941513303
Enrollment ID: O20160721000298

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. Thomas Hadley 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
Thomas Hadley Gustafson, DPT
20 N 2nd St, Suite 3,
Niles, MI 49120-2259

Ph: (269) 687-9594
Thomas Hadley Gustafson, DPT
20 N 2nd St, Suite 3,
Niles, MI 49120-2259

Ph: (269) 687-9594

Reviews and Comments


Physical Therapist in Niles, MI

Ashish Nagar,
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 1211 Stateline Rd, Niles, MI 49120
Phone: 269-684-2810    
Carrie Lynn Grellmann, RPT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 2 N Saint Joseph Ave, Niles, MI 49120
Phone: 269-687-1419    
Wendy Elizabeth Ruppart,
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 905 N Front St, Niles, MI 49120
Phone: 269-683-6800    
Anna Margartet Linstromberg, DPT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 905 N Front St, Niles, MI 49120
Phone: 269-683-6800    
Ayren Makay Parrish, PT, DPT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 31 N Saint Joseph Ave, Niles, MI 49120
Phone: 269-683-5510    
Leilani Bermeo, PT, DPT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 6 Longmeadow Village Dr Ste 3, Niles, MI 49120
Phone: 269-687-0945    Fax: 169-687-0960
David Leffler,
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 31 N Saint Joseph Ave, Niles, MI 49120
Phone: 269-687-1886    Fax: 269-687-1123

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.