Dr Mark D Gustafson, MD - Medicare Family Practice in Deer River, MN

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Dr Mark D Gustafson, MD is a medicare enrolled "Family Medicine" physician in Deer River, Minnesota. He went to University Of Minnesota Medical School and graduated in 1987 and has 38 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice The Duluth Clinic Ltd and his current practice location is 115 10th Ave Ne, Deer River, Minnesota. You can reach out to his office (for appointments etc.) via phone at (218) 246-8275.

Dr Mark D Gustafson is licensed to practice in Minnesota (license number 34203) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1467439000.

Contact Information

Dr Mark D Gustafson, MD
115 10th Ave Ne,
Deer River, MN 56636-8795
(218) 246-8275
Not Available

Map and Direction




Physician's Profile

Full NameDr Mark D Gustafson
GenderMale
SpecialityFamily Practice
Experience38 Years
Location115 10th Ave Ne, Deer River, Minnesota
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Mark D Gustafson attended and graduated from University Of Minnesota Medical School in 1987
  NPI Data:
  • NPI Number: 1467439000
  • Provider Enumeration Date: 12/26/2005
  • Last Update Date: 12/21/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 2264577915
  • Enrollment ID: I20100304001037

Medical Identifiers

Medical identifiers for Dr Mark D Gustafson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1467439000NPI-NPPES
430703800MedicaidMN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 34203 (Minnesota)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Deer River Healthcare CenterDeer river, MNHospital
Essentia Health VirginiaVirginia, MNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
The Duluth Clinic Ltd2567374283957

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 Mark D Gustafson allows following entities to bill medicare on his behalf.
Entity NameThe Duluth Clinic Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902563638
PECOS PAC ID: 2567374283
Enrollment ID: O20031103000229
Entity NameGrand Itasca Clinic And Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669426631
PECOS PAC ID: 8123939550
Enrollment ID: O20031105000209
Entity NameDeer River Healthcare Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1225049018
PECOS PAC ID: 1850388448
Enrollment ID: O20040427000428
Entity NameEssentia Health Virginia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083617120
PECOS PAC ID: 7810149002
Enrollment ID: O20130306000467

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 Mark D 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 Mark D Gustafson, MD
1702 University Dr S,
Fargo, ND 58103-4940

Ph: (701) 364-4222		Dr Mark D Gustafson, MD
115 10th Ave Ne,
Deer River, MN 56636-8795

Ph: (218) 246-8275

Reviews and Comments


Family Medicine Doctors in Deer River, MN

Arndt Beroen Braaten,
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 1025 10th Ave Ne, Deer River, MN 56636
Phone: 218-246-8275    
Thomas Edward Howard,
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 1025 10th Ave Ne, Deer River, MN 56636
Phone: 218-246-8275    
Dr. Thomas E Osborne, M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 115 10th Ave Ne, Essentia Health Deer River, Deer River, MN 56636
Phone: 218-246-2900    
Stephen Monroe Turner, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 115 10th Ave Ne, Deer River, MN 56636
Phone: 218-246-8275    Fax: 218-362-7131
David Charles Goodall,
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1025 10th Ave Ne, Deer River, MN 56636
Phone: 218-246-8275    Fax: 218-246-8279
Byron David Kion Hoffman,
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 1025 10th Ave Ne, Deer River, MN 56636
Phone: 218-246-8275    Fax: 218-246-8279

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.