Nicholas Gustafson, - Medicare Hematology/oncology in Sheboygan, WI

Nicholas Gustafson, is a medicare enrolled "Internal Medicine - Hematology & Oncology" physician in Sheboygan, Wisconsin. He went to Chicago College Of Osteopathy and graduated in 2014 and has 10 years of diverse experience with area of expertise as Hematology/oncology. He is a member of the group practice Aurora Health Care Central, Inc., Aurora Medical Group, Inc. and his current practice location is 1222 N 23rd St, Sheboygan, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 457-6800.

Nicholas Gustafson is licensed to practice in Wisconsin (license number 72979) 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 1508286386.

Contact Information

Nicholas Gustafson,
1222 N 23rd St,
Sheboygan, WI 53081-3171
(920) 457-6800
Not Available



Physician's Profile

Full NameNicholas Gustafson
GenderMale
SpecialityHematology/oncology
Experience10 Years
Location1222 N 23rd St, Sheboygan, Wisconsin
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Nicholas Gustafson attended and graduated from Chicago College Of Osteopathy in 2014
  NPI Data:
  • NPI Number: 1508286386
  • Provider Enumeration Date: 04/21/2014
  • Last Update Date: 12/11/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 8426343559
  • Enrollment ID: I20201229000344

Medical Identifiers

Medical identifiers for Nicholas Gustafson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1508286386NPI-NPPES
100139705MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208M00000XHospitalist 02005360A (Indiana)Secondary
207RH0003XInternal Medicine - Hematology & Oncology 72979 (Wisconsin)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Aurora Sheboygan Memorial Medical CtrSheboygan, WIHospital
Aurora Baycare Medical CtrGreen bay, WIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Aurora Health Care Central, Inc.46885836776
Aurora Medical Group, Inc.67097942583207

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Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Nicholas Gustafson allows following entities to bill medicare on his behalf.
Entity NameAurora Medical Group, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427271378
PECOS PAC ID: 6709794258
Enrollment ID: O20031105000725

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Entity NameAurora Health Care Metro Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861447179
PECOS PAC ID: 8628986536
Enrollment ID: O20040114000498

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Entity NameAurora Health Care Central, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922053107
PECOS PAC ID: 4688583677
Enrollment ID: O20040308000588

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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. Nicholas 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
Nicholas Gustafson,
Po Box 735044,
Chicago, IL 60673-5044

Ph: () -
Nicholas Gustafson,
1222 N 23rd St,
Sheboygan, WI 53081-3171

Ph: (920) 457-6800

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Internal Medicine Doctors in Sheboygan, WI

Gurminder Dhillon, MD
Hematology & Oncology
Medicare: Accepting Medicare Assignments
Practice Location: 3100 Superior Ave, Sheboygan, WI 53081
Phone: 920-496-4700    Fax: 816-404-0003
Dr. Philip M. Detrana, M.D.
Hematology & Oncology
Medicare: Accepting Medicare Assignments
Practice Location: 2414 Kohler Memorial Dr, Sheboygan, WI 53081
Phone: 920-457-4461    
Dr. Louie Coulis, M.D.
Hematology & Oncology
Medicare: Accepting Medicare Assignments
Practice Location: 1414 N Taylor Dr, Sheboygan, WI 53081
Phone: 920-458-9800    Fax: 920-458-9882
Mr. Vinicius Klee Lopes, M.D.
Hematology & Oncology
Medicare: Accepting Medicare Assignments
Practice Location: 2414 Kohler Memorial Dr, Sheboygan, WI 53081
Phone: 920-457-4461    
Sree Ramya Punukollu,
Hematology & Oncology
Medicare: Accepting Medicare Assignments
Practice Location: 3400 Union Ave, Sheboygan, WI 53081
Phone: 920-802-2100    
Dr. Rachael Bree Hosein, MBBS
Hematology & Oncology
Medicare: Accepting Medicare Assignments
Practice Location: 2414 Kohler Memorial Dr, Sheboygan, WI 53081
Phone: 920-457-4461    
Curtis Wayne Hancock, MD
Hematology & Oncology
Medicare: Accepting Medicare Assignments
Practice Location: 3431 N 13th St, Sheboygan, WI 53083
Phone: 414-359-4979    Fax: 414-328-4494

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