| William Gustafson, PA-C | |
|
2916 42nd Ave S, Minneapolis, MN 55406-1820 | |
| (541) 602-1340 | |
| Not Available |
| Full Name | William Gustafson |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 12 Years |
| Location | 2916 42nd Ave S, Minneapolis, Minnesota |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295137206 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Prairie Ridge Health | Columbus, WI | Hospital |
| Ssm Health St Mary's Hospital - Madison | Madison, WI | Hospital |
| Ssm Health St Clare Hospital - Baraboo | Baraboo, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Upland Hills Health Inc | 3072415553 | 97 |
| Entity Name | Madison Emergency Physicians SC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588646095 PECOS PAC ID: 4587631858 Enrollment ID: O20040915000748 |
| Entity Name | Upland Hills Health Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1659472397 PECOS PAC ID: 3072415553 Enrollment ID: O20061104000406 |
| Entity Name | Upland Hills Health Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821258740 PECOS PAC ID: 3072415553 Enrollment ID: O20081016000442 |
| Entity Name | Prairie Ridge Health Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1841376183 PECOS PAC ID: 6800791484 Enrollment ID: O20120307000538 |
| Mailing Address | Practice Location Address |
|---|---|
| William Gustafson, PA-C 2916 42nd Ave S, Minneapolis, MN 55406-1820 Ph: Not Available | William Gustafson, PA-C 2916 42nd Ave S, Minneapolis, MN 55406-1820 Ph: (541) 602-1340 |
Melissa Richardson, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 420 Delaware St Se, Minneapolis, MN 55455 Phone: 612-273-3000 |
Ms. Chelsea Anjelica Mielke, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2450 Riverside Ave, Minneapolis, MN 55454 Phone: 612-672-6000 |
Jacqueline Marie Gasperlin, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 800 E 28th St, Minneapolis, MN 55407 Phone: 612-863-4000 |
Julianne K Heil, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2800 Chicago Ave Ste 300, Minneapolis, MN 55407 Phone: 651-225-7855 Fax: 651-312-1570 |
Courtney Fields, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2211 Riverside Ave, Campus Box 149, Minneapolis, MN 55454 Phone: 612-330-1388 |
Tara Jean Rick, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: University Of Minnesota Physicians, 420 Delaware St Se, Mmc276, Minneapolis, MN 55455 Phone: 612-624-0909 |
Christine Ray Hsu, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 900 Nicollet Mall, Minneapolis, MN 55403 Phone: 612-338-0035 |