Rebel K Gustafson, MSW, LICSW in Duluth, MN - Medicare Clinical Social Worker Provider

Rebel K Gustafson, MSW, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Duluth, Minnesota. She graduated from medical school in 1995 and has 29 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Innovative Psychological Consultants, Llc and her current practice location is 407 E 3rd St, Duluth, Minnesota. You can reach out to her office (for appointments etc.) via phone at (218) 786-4000.

Rebel K Gustafson is licensed to practice in Minnesota (license number 8719) 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 1407061047.

Contact Information

	Rebel K Gustafson, MSW, LICSW
	407 E 3rd St, Duluth, MN 55805-1950
	(218) 786-4000
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Rebel K Gustafson
Gender	Female
Speciality	Clinical Social Worker
Experience	29 Years
Location	407 E 3rd St, Duluth, Minnesota
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:

Rebel K Gustafson graduated from medical school in 1995

NPI Data:

NPI Number: 1407061047
Provider Enumeration Date: 05/14/2007
Last Update Date: 09/29/2016

Medicare PECOS Information:

PECOS PAC ID: 4789804899
Enrollment ID: I20141013000072

Medical Identifiers

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

Identifier	Type	State	Issuer
1407061047	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	8719 (Minnesota)	Primary
1041C0700X	Social Worker - Clinical	8589 (Wisconsin)	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Innovative Psychological Consultants, Llc	3678596285	12

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. Rebel K Gustafson allows following entities to bill medicare on her behalf.

Entity Name	Innovative Psychological Consultants, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942221080 PECOS PAC ID: 3678596285 Enrollment ID: O20060110000633

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. Rebel K 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
Rebel K Gustafson, MSW, LICSW 400 E 3rd St, Credentialing Dept., Mcl2cred, Duluth, MN 55805-1951 Ph: (218) 786-3146	Rebel K Gustafson, MSW, LICSW 407 E 3rd St, Duluth, MN 55805-1950 Ph: (218) 786-4000

Reviews and Comments

Social Worker in Duluth, MN

Melissa Ann Winkler, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4000 W 9th St, Duluth, MN 55807 Phone: 218-625-2638 Fax: 651-323-2184
Emily Lundgren, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 11 E Superior St Ste 415, Duluth, MN 55802 Phone: 218-249-0595
Glenn Howard Tobey, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 17 1/2 N Lake Ave Rm 201, Duluth, MN 55802 Phone: 218-740-4389 Fax: 218-740-4389
Natalie Jo Ryan, MSW, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 810 E 4th St, Duluth, MN 55805 Phone: 218-624-5683 Fax: 218-624-5736
Zayla Asquith-heinz, LGSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4325 Grand Ave, Duluth, MN 55807 Phone: 218-722-1497 Fax: 218-722-6239
Sara A Fijalkiewicz, MSW, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 120 W 2nd St, Duluth, MN 55802 Phone: 218-728-4491 Fax: 218-302-8698
Wendy Michelle Olson, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 400 E 3rd St, Essentia Health Duluth Clinic, Duluth, MN 55805 Phone: 218-786-8364

Rebel K Gustafson, MSW, LICSW - Medicare Clinical Social Worker in Duluth, MN