Alicia Gustafson, DO in Bloomington, MN - Medicare Family Practice

Alicia Gustafson, DO is a medicare enrolled "Internal Medicine - Sports Medicine" physician in Bloomington, Minnesota. She went to Edward Via Col Of Osteo Medicine-virginia Campus and graduated in 2012 and has 12 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Texas Health Physicians Group and her current practice location is 8100 Northland Dr, Bloomington, Minnesota. You can reach out to her office (for appointments etc.) via phone at (952) 831-8742.

Alicia Gustafson is licensed to practice in Minnesota (license number 75542) 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 1417210790.

Contact Information

	Alicia Gustafson, DO
	8100 Northland Dr, Bloomington, MN 55431-4800
	(952) 831-8742
	Not Available

Map and Direction

Physician's Profile

Full Name	Alicia Gustafson
Gender	Female
Speciality	Family Practice
Experience	12 Years
Location	8100 Northland Dr, Bloomington, 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:

Alicia Gustafson attended and graduated from Edward Via Col Of Osteo Medicine-virginia Campus in 2012

NPI Data:

NPI Number: 1417210790
Provider Enumeration Date: 06/21/2012
Last Update Date: 05/10/2024

Medicare PECOS Information:

PECOS PAC ID: 1951526730
Enrollment ID: I20210104002157

Medical Identifiers

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

Identifier	Type	State	Issuer
1417210790	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	S9140 (Texas)	Secondary
207QS0010X	Family Medicine - Sports Medicine	S9140 (Texas)	Secondary
207RS0010X	Internal Medicine - Sports Medicine	75542 (Minnesota)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Texas Health Harris Methodist Hospital Alliance	Fort worth, TX	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Texas Health Physicians Group	4385535954	1182

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

Entity Name	Texas Health Physicians Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1174573596 PECOS PAC ID: 4385535954 Enrollment ID: O20040323000759

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. Alicia 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
Alicia Gustafson, DO 8170 33rd Ave S # Ms 21110q, Bloomington, MN 55425-4516 Ph: () -	Alicia Gustafson, DO 8100 Northland Dr, Bloomington, MN 55431-4800 Ph: (952) 831-8742

Reviews and Comments

Internal Medicine Doctors in Bloomington, MN

Constance Crane, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 7920 Old Cedar Ave S, Bloomington, MN 55425 Phone: 952-851-1000
Jerome C Siy, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 8170 33rd Ave S, Mc21110q, Bloomington, MN 55425 Phone: 651-254-9594 Fax: 651-254-3662
Christofer A. Smith, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 600 W 98th St, Bloomington, MN 55420 Phone: 952-885-6060
William Shaffer, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 7920 Old Cedar Ave S, Bloomington, MN 55425 Phone: 952-428-1800
Donald L Zogg, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 5705 W Old Shakopee Rd, Bloomington, MN 55437 Phone: 612-871-1145
Randy Kimpell, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 7920 Old Cedar Ave S, Bloomington, MN 55425 Phone: 952-851-1000
Jonathan D. Katz, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 600 W 98th St, Bloomington, MN 55420 Phone: 952-885-6060

Alicia Gustafson, DO - Medicare Family Practice in Bloomington, MN