Mr Andrew Kirby Gustavson, PA-C in Waxhaw, NC - Medicare Physician Assistant

Mr Andrew Kirby Gustavson, PA-C is a medicare enrolled "Physician Assistant" in Waxhaw, North Carolina. His current practice location is 3614 Providence Rd S Ste 200, Waxhaw, North Carolina. You can reach out to his office (for appointments etc.) via phone at (704) 384-8640.

Mr Andrew Kirby Gustavson is licensed to practice in North Carolina (license number 0010-12435) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1306571302.

Contact Information

	Mr Andrew Kirby Gustavson, PA-C
	3614 Providence Rd S Ste 200, Waxhaw, NC 28173-6310
	(704) 384-8640
	(704) 384-8650

Map and Direction

Provider's Profile

Full Name	Mr Andrew Kirby Gustavson
Gender	Male
Speciality	Physician Assistant
Location	3614 Providence Rd S Ste 200, Waxhaw, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1306571302
Provider Enumeration Date: 07/22/2022
Last Update Date: 12/28/2022

Medicare PECOS Information:

PECOS PAC ID: 5395121156
Enrollment ID: I20221118001648

Medical Identifiers

Medical identifiers for Mr Andrew Kirby Gustavson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1306571302	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	0010-12435 (North Carolina)	Primary

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. Mr Andrew Kirby Gustavson 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
Mr Andrew Kirby Gustavson, PA-C Po Box 60447, Charlotte, NC 28260-0447 Ph: () -	Mr Andrew Kirby Gustavson, PA-C 3614 Providence Rd S Ste 200, Waxhaw, NC 28173-6310 Ph: (704) 384-8640

Reviews and Comments

Physician Assistant Nurses in Waxhaw, NC

Lea Maria Holevas, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 10033 Strike The Gold Ln, Waxhaw, NC 28173 Phone: 704-989-4760
Nikki Torres, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1029 Brunswick Way, Waxhaw, NC 28173 Phone: 704-840-9793
Derek Whalen, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1621 Providence Rd S Ste 370, Waxhaw, NC 28173 Phone: 704-520-7089 Fax: 704-520-7099
Kimberly Renee Gordon, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 9929 Rea Rd Ste 201, Waxhaw, NC 28173 Phone: 704-316-1650 Fax: 704-316-1651
Brian John Devlin, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1530 Providence Rd S, Waxhaw, NC 28173 Phone: 704-627-8365 Fax: 704-627-8366
Jennifer Lynn Gonzales, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2700 Providence Rd S, Ste 300, Waxhaw, NC 28173 Phone: 704-243-2254

Mr Andrew Kirby Gustavson, PA-C - Medicare Physician Assistant in Waxhaw, NC