Thomas Paul Gustafson, MD - Medicare Family Practice in Chisago City, MN

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Thomas Paul Gustafson, MD is a medicare enrolled "Family Medicine - Sleep Medicine" physician in Chisago City, Minnesota. He went to University Of Minnesota Medical School and graduated in 2006 and has 19 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Range Regional Health Services, Grand Itasca Clinic And Hospital, Winona Health Services and his current practice location is 11725 Stinson Ave, Chisago City, Minnesota. You can reach out to his office (for appointments etc.) via phone at (651) 257-8499.

Thomas Paul Gustafson is licensed to practice in Minnesota (license number 49732) 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 1225253693.

Contact Information

Thomas Paul Gustafson, MD
11725 Stinson Ave,
Chisago City, MN 55013-9542
(651) 257-8499
Not Available

Map and Direction




Physician's Profile

Full NameThomas Paul Gustafson
GenderMale
SpecialityFamily Practice
Experience19 Years
Location11725 Stinson Ave, Chisago City, 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:
  • Thomas Paul Gustafson attended and graduated from University Of Minnesota Medical School in 2006
  NPI Data:
  • NPI Number: 1225253693
  • Provider Enumeration Date: 04/13/2007
  • Last Update Date: 03/11/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 4082797360
  • Enrollment ID: I20080208000514

Medical Identifiers

Medical identifiers for Thomas Paul Gustafson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1225253693NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207QS1201XFamily Medicine - Sleep Medicine 49732 (Minnesota)Primary
207Q00000XFamily Medicine 49732 (Minnesota)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
University Medical Center-mesabi/ Mesaba ClinicsHibbing, MNHospital
Grand Itasca Clinic And HospitalGrand rapids, MNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Range Regional Health Services8022920024255
Grand Itasca Clinic And Hospital8123939550263
Winona Health Services8527977420111

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. Thomas Paul Gustafson allows following entities to bill medicare on his behalf.
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 NameFairview Health Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013994359
PECOS PAC ID: 1951213057
Enrollment ID: O20031105000461
Entity NameFairview Clinics
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346432218
PECOS PAC ID: 7113830142
Enrollment ID: O20031106000516
Entity NameRange Regional Health Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669569265
PECOS PAC ID: 8022920024
Enrollment ID: O20031110000095
Entity NameHealtheast Medical Research Institute
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639125503
PECOS PAC ID: 3971407636
Enrollment ID: O20031124000507
Entity NameWinona Health Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295789352
PECOS PAC ID: 8527977420
Enrollment ID: O20040106000260
Entity NameFairview Express Care
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053952606
PECOS PAC ID: 3375645179
Enrollment ID: O20081028000548

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. Thomas Paul 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
Thomas Paul Gustafson, MD
490 Owasso Hills Dr,
Roseville, MN 55113-2153

Ph: (612) 759-3476		Thomas Paul Gustafson, MD
11725 Stinson Ave,
Chisago City, MN 55013-9542

Ph: (651) 257-8499

Reviews and Comments


Family Medicine Doctors in Chisago City, MN

Kurt R Peterson, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 11725 Stinson Ave, Chisago City, MN 55013
Phone: 651-257-8499    
Terry W Kopp, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 11725 Stinson Ave, Chisago City, MN 55013
Phone: 651-257-8499    
Robert Paul Post, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 11725 Stinson Ave, Chisago City, MN 55013
Phone: 651-257-8499    
Nancy L Alexis, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 11725 Stinson Ave, Chisago City, MN 55013
Phone: 651-257-8499    
Dr. Courtney Leigh Moore, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 11725 Stinson Ave, Chisago City, MN 55013
Phone: 855-324-7843    
Amy Christopherson Anderson, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 11725 Stinson Ave, Chisago City, MN 55013
Phone: 651-257-8499    

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.