Mr Troy Gustaveson, PA-C in Tucson, AZ - Medicare Physician Assistant

Mr Troy Gustaveson, PA-C is a medicare enrolled "Physician Assistant - Medical" in Tucson, Arizona. His current practice location is 5910 N La Cholla Blvd, Tucson, Arizona. You can reach out to his office (for appointments etc.) via phone at (520) 297-0404.

Mr Troy Gustaveson is licensed to practice in Arizona (license number 6477) 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 1902357171.

Contact Information

	Mr Troy Gustaveson, PA-C
	5910 N La Cholla Blvd, Tucson, AZ 85741-3535
	(520) 297-0404
	(520) 297-0436

Map and Direction

Provider's Profile

Full Name	Mr Troy Gustaveson
Gender	Male
Speciality	Physician Assistant - Medical
Location	5910 N La Cholla Blvd, Tucson, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1902357171
Provider Enumeration Date: 10/21/2016
Last Update Date: 01/07/2017

Medicare PECOS Information:

PECOS PAC ID: 2264713205
Enrollment ID: I20170105000208

Medical Identifiers

Medical identifiers for Mr Troy Gustaveson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1902357171	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363AM0700X	Physician Assistant - Medical	6477 (Arizona)	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 Troy Gustaveson 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 Troy Gustaveson, PA-C 5910 N La Cholla Blvd, Tucson, AZ 85741-3535 Ph: (520) 297-0404	Mr Troy Gustaveson, PA-C 5910 N La Cholla Blvd, Tucson, AZ 85741-3535 Ph: (520) 297-0404

Reviews and Comments

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Mr Troy Gustaveson, PA-C - Medicare Physician Assistant in Tucson, AZ