Lesley A Gustafson, CNM - Medicare Advanced Practice Midwife in Waterbury, CT

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Lesley A Gustafson, CNM is a medicare enrolled "Advanced Practice Midwife" in Waterbury, Connecticut. Her current practice location is 140 Grandview Ave, Suite 202, Waterbury, Connecticut. You can reach out to her office (for appointments etc.) via phone at (203) 755-2344.

Lesley A Gustafson is licensed to practice in West Virginia (license number 57006) 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 1639163199.

Contact Information

Lesley A Gustafson, CNM
140 Grandview Ave, Suite 202,
Waterbury, CT 06708
(203) 755-2344
(203) 573-8166

Map and Direction




Provider's Profile

Full NameLesley A Gustafson
GenderFemale
SpecialityAdvanced Practice Midwife
Location140 Grandview Ave, Waterbury, Connecticut
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1639163199
  • Provider Enumeration Date: 09/09/2005
  • Last Update Date: 09/11/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 7517961188
  • Enrollment ID: I20060913000303

Medical Identifiers

Medical identifiers for Lesley A Gustafson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1639163199NPI-NPPES
9450001000MedicaidWV

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367A00000XAdvanced Practice Midwife 114 (West Virginia)Secondary
367A00000XAdvanced Practice Midwife 57006 (West 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. Lesley A Gustafson allows following entities to bill medicare on her behalf.
Entity NameProspect Ct Medical Foundation Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1144677568
PECOS PAC ID: 7416244496
Enrollment ID: O20160919001322

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. Lesley A 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
Lesley A Gustafson, CNM
140 Grandview Ave, Suite 202 Associated Womens Health,
Waterbury, CT 06708

Ph: (203) 755-2344		Lesley A Gustafson, CNM
140 Grandview Ave, Suite 202,
Waterbury, CT 06708

Ph: (203) 755-2344

Reviews and Comments


Advanced Practice Midwife Nurses in Waterbury, CT

Julianna J Thompson, CNM
Advanced Practice Midwife
Medicare: Not Enrolled in Medicare
Practice Location: 134 Grandview Ave, Waterbury, CT 06708
Phone: 203-754-2535    
Mrs. Loretta C Richardson, CNM
Advanced Practice Midwife
Medicare: Accepting Medicare Assignments
Practice Location: 134 Grandview Ave, Suite 210, Waterbury, CT 06708
Phone: 860-307-2937    Fax: 203-754-0788
Kathryn Spiess, CNM
Advanced Practice Midwife
Medicare: Not Enrolled in Medicare
Practice Location: 140 Grandview Ave, Suite 202, Waterbury, CT 06708
Phone: 203-755-2344    Fax: 203-573-8166
Vanessa Daou, CNM
Advanced Practice Midwife
Medicare: Accepting Medicare Assignments
Practice Location: 134 Grandview Ave, Suite 210, Waterbury, CT 06708
Phone: 203-754-2535    Fax: 203-754-0788
Carrie Ann Mi Costa, CNM
Advanced Practice Midwife
Medicare: Accepting Medicare Assignments
Practice Location: 60 Westwood Ave Ste 100, Waterbury, CT 06708
Phone: 203-578-4609    
Ms. Deborah Garber, CNM
Advanced Practice Midwife
Medicare: Not Enrolled in Medicare
Practice Location: 133 Scovill St, Suite 303, Waterbury, CT 06706
Phone: 203-575-1811    Fax: 203-575-1995
Ms. Alison Birdsey, CNM
Advanced Practice Midwife
Medicare: Accepting Medicare Assignments
Practice Location: 80 Phoenix Ave, Waterbury, CT 06702
Phone: 203-756-8021    

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.