Amber Gustafson, ACNPC-AG in Little River, SC

Amber Gustafson, ACNPC-AG is a medicare enrolled "Nurse Practitioner - Acute Care" in Little River, South Carolina. Her current practice location is 4000 Highway 9 E, Little River, South Carolina. You can reach out to her office (for appointments etc.) via phone at (843) 390-8100.

Amber Gustafson is licensed to practice in South Carolina (license number 26698) 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 1316663750.

Contact Information

	Amber Gustafson, ACNPC-AG
	4000 Highway 9 E, Little River, SC 29566-7833
	(843) 390-8100
	Not Available

Map and Direction

Provider's Profile

Full Name	Amber Gustafson
Gender	Female
Speciality	Nurse Practitioner - Acute Care
Location	4000 Highway 9 E, Little River, South Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1316663750
Provider Enumeration Date: 10/18/2022
Last Update Date: 10/18/2022

Medicare PECOS Information:

PECOS PAC ID: 1557730298
Enrollment ID: I20221220000094

Medical Identifiers

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

Identifier	Type	State	Issuer
1316663750	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	26698 (South Carolina)	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. Amber Gustafson allows following entities to bill medicare on her behalf.

Entity Name	Mcleod Physician Associates Ii
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801990494 PECOS PAC ID: 8224031307 Enrollment ID: O20060926000568

Entity Name	Mcleod Loris Seacoast Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1265708119 PECOS PAC ID: 9133394398 Enrollment ID: O20120710000230

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. Amber 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
Amber Gustafson, ACNPC-AG 1504 Watson Ave, Little River, SC 29566-8288 Ph: (843) 455-9979	Amber Gustafson, ACNPC-AG 4000 Highway 9 E, Little River, SC 29566-7833 Ph: (843) 390-8100

Reviews and Comments

Nurse Practitioner Nurses in Little River, SC

Jillian M. Siniscalchi, AGP-NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4303 Live Oak Dr, Little River, SC 29566 Phone: 843-663-8000
Jamie Elizabeth Stevens, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3980 Highway 9 E Ste 220, Little River, SC 29566 Phone: 843-390-0877
Ashley Joan Riley, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4303 Live Oak Dr, Little River, SC 29566 Phone: 843-663-8294 Fax: 843-663-8166
Holly Leanne Poplin, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2246 Highway 17, Little River, SC 29566 Phone: 843-663-2220
Lauren Lewis St George, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 100 Water Grande Blvd, Little River, SC 29566 Phone: 843-366-4000
Mrs. Chandler Hardee Heaps, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3793 Mcdowell Lane Medical Park 2, Suite 200, Little River, SC 29566 Phone: 843-390-0877
Antonela K Ratiu, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3600 Sea Mountain Hwy Ste B, Little River, SC 29566 Phone: 843-399-9696

Amber Gustafson, ACNPC-AG - Medicare Nurse Practitioner in Little River, SC