Gregory Robert Gustavson, APRN - Radiology in Willimantic, CT

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Gregory Robert Gustavson, APRN is a Radiology - Vascular & Interventional Radiology physician based in Willimantic, Connecticut. Gregory Robert Gustavson is licensed to practice in Connecticut (license number 12.017664) and his current practice location is 112 Mansfield Ave, Willimantic, Connecticut. He can be reached at his office (for appointments etc.) via phone at (860) 456-9116.

NPI number for Gregory Robert Gustavson is 1770418030 and his current mailing address is 5 Beaudet Ter, Columbia, Connecticut. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1770418030.

Contact Information

Gregory Robert Gustavson, APRN
112 Mansfield Ave,
Willimantic, CT 06226-2040
(860) 456-9116
Not Available

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Physician's Profile

Full NameGregory Robert Gustavson
GenderMale
SpecialityRadiology - Vascular & Interventional Radiology
Location112 Mansfield Ave, Willimantic, Connecticut
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1770418030
  • Provider Enumeration Date: 06/16/2026
  • Last Update Date: 06/16/2026

Medical Identifiers

Medical identifiers for Gregory Robert Gustavson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1770418030NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0204XRadiology - Vascular & Interventional Radiology 12.017664 (Connecticut)Primary

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. Gregory Robert Gustavson is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Gregory Robert Gustavson, APRN
5 Beaudet Ter,
Columbia, CT 06237-1404

Ph: (860) 617-0730		Gregory Robert Gustavson, APRN
112 Mansfield Ave,
Willimantic, CT 06226-2040

Ph: (860) 456-9116

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Radiology Doctors in Willimantic, CT

Dr. Robert Bellarmine Daly, M.D.
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Phone: 860-208-4920    

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.