Mary Kathryn Gustafson, in Henrico, VA - Medicare Physical Medicine & Rehabilitation

Mary Kathryn Gustafson, is a medicare enrolled "Physical Medicine & Rehabilitation" physician in Henrico, Virginia. Her current practice location is 11958 W Broad St Fl 5, Henrico, Virginia. You can reach out to her office (for appointments etc.) via phone at (804) 360-4669.

Mary Kathryn Gustafson is licensed to practice in Virginia (license number 0102208132) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1255892998.

Contact Information

	Mary Kathryn Gustafson,
	11958 W Broad St Fl 5, Henrico, VA 23233-1007
	(804) 360-4669
	(804) 364-6557

Map and Direction

Physician's Profile

Full Name	Mary Kathryn Gustafson
Gender	Female
Speciality	Physical Medicine & Rehabilitation
Location	11958 W Broad St Fl 5, Henrico, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1255892998
Provider Enumeration Date: 03/26/2019
Last Update Date: 09/12/2023

Medicare PECOS Information:

PECOS PAC ID: 2668829730
Enrollment ID: I20231110001446

Medical Identifiers

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

Identifier	Type	State	Issuer
1255892998	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208100000X	Physical Medicine & Rehabilitation	0102208132 (Virginia)	Primary

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. Mary Kathryn Gustafson allows following entities to bill medicare on her behalf.

Entity Name	Mcv Associated Physicians
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1710959457 PECOS PAC ID: 4385542117 Enrollment ID: O20031230000559

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. Mary Kathryn 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
Mary Kathryn Gustafson, Po Box 780125, Philadelphia, PA 19178-0125 Ph: (804) 922-4844	Mary Kathryn Gustafson, 11958 W Broad St Fl 5, Henrico, VA 23233-1007 Ph: (804) 360-4669

Reviews and Comments

Physical Medicine & Rehabilitation Doctors in Henrico, VA

Bradley Alan Stovall, DO Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 11958 W Broad St, Henrico, VA 23233 Phone: 804-360-4669 Fax: 804-364-6521
Jessica Hupe, Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 11958 W Broad St, Henrico, VA 23233 Phone: 804-360-4669 Fax: 804-364-6557
Aileen Giordano, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 7700 E Parham Rd, Henrico, VA 23294 Phone: 804-747-5642
Trevor A Litwiler, PT, DPT Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 7858 Shrader Rd Fl 2, Henrico, VA 23294 Phone: 804-497-2583

Mary Kathryn Gustafson, - Medicare Physical Medicine & Rehabilitation in Henrico, VA