Dr Blake Gustafson, MD in Newark, DE - Medicare Emergency Medicine

Dr Blake Gustafson, MD is a medicare enrolled "Emergency Medicine" physician in Newark, Delaware. His current practice location is 4755 Ogletown Stanton Rd, Department Of Emergency Medicine, Newark, Delaware. You can reach out to his office (for appointments etc.) via phone at (302) 733-1840.

Dr Blake Gustafson is licensed to practice in Delaware (license number C1-0009550) 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 1467654442.

Contact Information

	Dr Blake Gustafson, MD
	4755 Ogletown Stanton Rd, Department Of Emergency Medicine, Newark, DE 19718-2200
	(302) 733-1840
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Blake Gustafson
Gender	Male
Speciality	Emergency Medicine
Location	4755 Ogletown Stanton Rd, Newark, Delaware
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1467654442
Provider Enumeration Date: 06/01/2007
Last Update Date: 05/10/2013

Medicare PECOS Information:

PECOS PAC ID: 0941464119
Enrollment ID: I20160803002503

Medical Identifiers

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

Identifier	Type	State	Issuer
1467654442	NPI	-	NPPES
C1-0009550	Other	DE	STATE LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	C1-0009550 (Delaware)	Primary
207Q00000X	Family Medicine	C1-0009550 (Delaware)	Secondary

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. Dr Blake Gustafson allows following entities to bill medicare on his behalf.

Entity Name	Sanford Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093090342 PECOS PAC ID: 8325950215 Enrollment ID: O20040115000388

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 Blake 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
Dr Blake Gustafson, MD Po Box 7529, Newark, DE 19714-7529 Ph: (302) 294-1468	Dr Blake Gustafson, MD 4755 Ogletown Stanton Rd, Department Of Emergency Medicine, Newark, DE 19718-2200 Ph: (302) 733-1840

Reviews and Comments

Emergency Medicine Doctors in Newark, DE

Dr. Sepehr Sedigh Haghighat, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4755 Ogletown Stanton Rd, Newark, DE 19718 Phone: 302-733-3901
Paul C Anderson, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 4755 Ogeltown Stanton Road, Newark, DE 19718 Phone: 302-733-1000 Fax: 302-733-1633
Valerie Ann Cohen, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4755 Ogletown Stanton Rd, Newark, DE 19718 Phone: 302-623-4050
Brian E Burgess, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 4755 Ogletown Stanton Road, Newark, DE 19718 Phone: 302-733-1000 Fax: 302-733-1633
Kristina Louise Stransky, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 4755 Ogletown Stanton Rd, Newark, DE 19718 Phone: 302-733-1042
Christopher Lanier Carpenter, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4755 Ogletown Stanton Rd Ste 6e34, Newark, DE 19718 Phone: 302-733-4186 Fax: 302-733-6905
Caitlin Boyle, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4755 Ogletown Stanton Rd, Newark, DE 19718 Phone: 302-733-1000

Dr Blake Gustafson, MD - Medicare Emergency Medicine in Newark, DE