Dr Mark Leroy Gustafson, DO in Charleston, WV - Medicare

Dr Mark Leroy Gustafson, DO is a medicare enrolled "Emergency Medicine" physician in Charleston, West Virginia. His current practice location is 3110 Maccorkle Ave Se, Charleston, West Virginia. You can reach out to his office (for appointments etc.) via phone at (304) 388-7170.

Dr Mark Leroy Gustafson is licensed to practice in West Virginia (license number 2723) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1851667000.

Contact Information

	Dr Mark Leroy Gustafson, DO
	3110 Maccorkle Ave Se, Charleston, WV 25304-1210
	(304) 388-7170
	Not Available

Physician's Profile

Full Name	Dr Mark Leroy Gustafson
Gender	Male
Speciality
Experience	Years
Location	3110 Maccorkle Ave Se, Charleston, West Virginia
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Mark Leroy Gustafson attended and graduated from in

NPI Data:

NPI Number: 1851667000
Provider Enumeration Date: 03/31/2012
Last Update Date: 12/16/2016

Medicare PECOS Information:

PECOS PAC ID:
Enrollment ID:

Medical Identifiers

Medical identifiers for Dr Mark Leroy Gustafson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1851667000	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	2723 (West Virginia)	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 Mark Leroy 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 Mark Leroy Gustafson, DO 3100 Maccorkle Ave Se, Ste 203, Charleston, WV 25304-1228 Ph: (304) 388-1724	Dr Mark Leroy Gustafson, DO 3110 Maccorkle Ave Se, Charleston, WV 25304-1210 Ph: (304) 388-7170

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Emergency Medicine Doctors in Charleston, WV

Barry Michael Mitchell, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 419 Brooks St, Charleston, WV 25301 Phone: 304-395-0401
Adam Thomas Crawford, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3110 Maccorkle Ave Se, Charleston, WV 25304 Phone: 304-388-7170 Fax: 304-388-4621
Dr. Hunter Nielsen, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 501 Morris St, Charleston, WV 25301 Phone: 304-388-5432 Fax: 304-388-3360
Lauren B Wright, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3200 Maccorkle Ave Se, Charleston, WV 25304 Phone: 304-388-4172 Fax: 304-388-4155
Bradley Nine, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3200 Maccorkle Ave Se, Charleston, WV 25304 Phone: 304-388-5432
Calvin Huan Yang, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3200 Maccorkle Ave Se, Charleston, WV 25304 Phone: 304-388-4172 Fax: 304-388-4155
Roger Taylor, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 501 Morris St, Charleston, WV 25301 Phone: 304-647-6006

Dr Mark Leroy Gustafson, DO - Medicare in Charleston, WV