Eric Karl Gustafson, MD in Holland, MI - Medicare Family Practice

Eric Karl Gustafson, MD is a medicare enrolled "Family Medicine" physician in Holland, Michigan. He went to Michigan State University College Of Human Medicine and graduated in 1991 and has 33 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Lakewood Family Medicine Plc and his current practice location is 382 N 120th Ave, Holland, Michigan. You can reach out to his office (for appointments etc.) via phone at (616) 396-6516.

Eric Karl Gustafson is licensed to practice in Michigan (license number 4301058257) 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 1093809543.

Contact Information

	Eric Karl Gustafson, MD
	382 N 120th Ave, Holland, MI 49424
	(616) 396-6516
	(616) 396-2513

Map and Direction

Physician's Profile

Full Name	Eric Karl Gustafson
Gender	Male
Speciality	Family Practice
Experience	33 Years
Location	382 N 120th Ave, Holland, Michigan
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Eric Karl Gustafson attended and graduated from Michigan State University College Of Human Medicine in 1991

NPI Data:

NPI Number: 1093809543
Provider Enumeration Date: 10/02/2006
Last Update Date: 12/14/2009

Medicare PECOS Information:

PECOS PAC ID: 7810907821
Enrollment ID: I20060505000067

Medical Identifiers

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

Identifier	Type	State	Issuer
1093809543	NPI	-	NPPES
O10052591	Other	MI	RAILROAD MEDICARE
0700109	Other	MI	BCBS
3069358	Medicaid	MI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	4301058257 (Michigan)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Holland Community Hospital	Holland, MI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Lakewood Family Medicine Plc	0749290740	17

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. Eric Karl Gustafson allows following entities to bill medicare on his behalf.

Entity Name	Lakewood Family Medicine Plc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073609392 PECOS PAC ID: 0749290740 Enrollment ID: O20060504000198

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. Eric Karl 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
Eric Karl Gustafson, MD 382 N 120th Ave, Holland, MI 49424 Ph: (616) 396-6516	Eric Karl Gustafson, MD 382 N 120th Ave, Holland, MI 49424 Ph: (616) 396-6516

Reviews and Comments

Family Medicine Doctors in Holland, MI

Shaena Freeman, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1061 Washington Ave, Holland, MI 49423 Phone: 616-393-8100 Fax: 877-451-0226
Jessica White, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 602 Michigan Ave, Holland, MI 49423 Phone: 616-546-4950 Fax: 616-546-4955
Mark Norval Folkening, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 111 Lakeview Ave, Holland, MI 49424 Phone: 616-502-7144 Fax: 616-786-0185
William Barry Bonzelaar, M.D.032354 Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 904 S Washington Ave, Suite 210, Holland, MI 49423 Phone: 616-392-8035 Fax: 616-392-7404
Jon W Kroeze, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 382 N 120th Ave, Holland, MI 49424 Phone: 616-396-6516 Fax: 616-396-2513
Dan F Kreuzer, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 383 Garden Ave, Holland, MI 49424 Phone: 616-494-8271 Fax: 616-494-8273
Christopher Lee Wedeven, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2450 Van Ommen Dr, Holland, MI 49424 Phone: 616-399-4946

Eric Karl Gustafson, MD - Medicare Family Practice in Holland, MI