Dr Aimee Jean Gustafson, DDS - Medicare Dentist in Polson, MT

Dr Aimee Jean Gustafson, DDS is a medicare enrolled "Dentist" provider in Polson, Montana. Her current practice location is 5 4th Ave E, Polson, Montana. You can reach out to her office (for appointments etc.) via phone at (406) 745-3525.

Dr Aimee Jean Gustafson is licensed to practice in Montana (license number DEN-DEN-LIC-2485) 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 1205148145.

Contact Information

Dr Aimee Jean Gustafson, DDS
5 4th Ave E,
Polson, MT 59860-2117
(406) 745-3525
Not Available



Healthcare Provider's Profile

Full NameDr Aimee Jean Gustafson
GenderFemale
SpecialityDentist
Location5 4th Ave E, Polson, Montana
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1205148145
  • Provider Enumeration Date: 07/08/2010
  • Last Update Date: 03/15/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 8224276654
  • Enrollment ID: I20130524000296

Medical Identifiers

Medical identifiers for Dr Aimee Jean Gustafson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1205148145NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223G0001XDentist - General Practice 2485 (Montana)Secondary
122300000XDentist DEN-DEN-LIC-2485 (Montana)Primary
122300000XDentist D12841 (Minnesota)Secondary

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. Dr Aimee Jean 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
Dr Aimee Jean Gustafson, DDS
Po Box 880,
Saint Ignatius, MT 59865-0880

Ph: (406) 745-3525
Dr Aimee Jean Gustafson, DDS
5 4th Ave E,
Polson, MT 59860-2117

Ph: (406) 745-3525

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› Verified 4 days ago


Dentist in Polson, MT

Dr. Timothy Chapman Johnson, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 203 Main St, Polson, MT 59860
Phone: 406-883-0496    
Dr. Michael R Windauer, DMD
Dentist
Medicare: Medicare Enrolled
Practice Location: 421 Main St, Polson, MT 59860
Phone: 406-883-1343    Fax: 406-883-3550
Dr. Jason T Heintz, D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 102 1st Ave E, Polson, MT 59860
Phone: 406-883-5544    Fax: 406-883-5420
Dr. Samantha Alexandria Clark, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 5 4th Ave. E., Polson, MT 59860
Phone: 406-745-3525    Fax: 406-745-3529
Dr. David J. Sievert, D.D.S.
Dentist
Medicare: Medicare Enrolled
Practice Location: 5 4th Ave E, Polson, MT 59860
Phone: 406-883-5541    Fax: 406-883-3379
Mr. Gayle R. Siemers, D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: #2 6th Ave East, Polson, MT 59860
Phone: 406-883-6269    Fax: 406-883-9203

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