Dr Jared John Gustafson, DDS in Arlington, MN - Medicare Dentist Provider

Dr Jared John Gustafson, DDS is a medicare enrolled "Dentist" provider in Arlington, Minnesota. His current practice location is 106 3rd Ave Nw, Arlington, Minnesota. You can reach out to his office (for appointments etc.) via phone at (507) 964-2705.

Dr Jared John Gustafson is licensed to practice in Minnesota (license number 12927) 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 1073806303.

Contact Information

	Dr Jared John Gustafson, DDS
	106 3rd Ave Nw, Arlington, MN 55307-2099
	(507) 964-2705
	(507) 964-5848

Healthcare Provider's Profile

Full Name	Dr Jared John Gustafson
Gender	Male
Speciality	Dentist
Location	106 3rd Ave Nw, Arlington, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1073806303
Provider Enumeration Date: 05/19/2011
Last Update Date: 05/19/2011

Medicare PECOS Information:

PECOS PAC ID: 3577883057
Enrollment ID: I20150522002444

Medical Identifiers

Medical identifiers for Dr Jared John Gustafson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073806303	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	12927 (Minnesota)	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. Dr Jared John 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 Address	Practice Location Address
Dr Jared John Gustafson, DDS 106 3rd Ave Nw, Po Box 352, Arlington, MN 55307-2099 Ph: (507) 964-2705	Dr Jared John Gustafson, DDS 106 3rd Ave Nw, Arlington, MN 55307-2099 Ph: (507) 964-2705

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Dentist in Arlington, MN

Dr. Elizabeth Helen Brack, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 503 W Main St, Arlington, MN 55307 Phone: 507-964-2748
Dr. Howard Michael Noack, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 503 W. Main St., Arlington, MN 55307 Phone: 507-964-2748

Dr Jared John Gustafson, DDS - Medicare Dentist in Arlington, MN