| Faith A Gustafson, PA-C | |
|
1475 Webb St, Cumberland, WI 54829-9187 | |
| (717) 822-2231 | |
| (715) 822-2023 |
| Full Name | Faith A Gustafson |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 24 Years |
| Location | 1475 Webb St, Cumberland, Wisconsin |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356348858 | NPI | - | NPPES |
| 41981700 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AS0400X | Physician Assistant - Surgical | 1677-023 (Wisconsin) | Secondary |
| 363AM0700X | Physician Assistant - Medical | 1677-023 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Good Samaritan Society Home Care | St croix falls, WI | Home health agency |
| St Croix Regional Medical Ctr | Saint croix falls, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St. Croix Regional Medical Center | 9335032184 | 109 |
| Mailing Address | Practice Location Address |
|---|---|
| Faith A Gustafson, PA-C 1475 Webb St, Cumberland, WI 54829-9187 Ph: (717) 822-2231 | Faith A Gustafson, PA-C 1475 Webb St, Cumberland, WI 54829-9187 Ph: (717) 822-2231 |
Nicole Marie Huber, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1705 16th Ave, Cumberland, WI 54829 Phone: 715-822-7500 Fax: 715-822-7501 | |
Nicholas Pedersen, Physician Assistant Medicare: Medicare Enrolled Practice Location: 1110 7th Ave, Cumberland, WI 54829 Phone: 715-822-7500 |