Dana Gustafson, DPM - Medicare Podiatrist in Maywood, IL

Dana Gustafson, DPM is a medicare enrolled "Podiatrist" provider in Maywood, Illinois. Her current practice location is 2160 S 1st Ave, Maywood, Illinois. You can reach out to her office (for appointments etc.) via phone at (708) 216-9000.

Dana Gustafson is licensed to practice in Illinois (license number 135.001016) 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 1407352289.

Contact Information

Dana Gustafson, DPM
2160 S 1st Ave,
Maywood, IL 60153-3328
(708) 216-9000
Not Available



Healthcare Provider's Profile

Full NameDana Gustafson
GenderFemale
SpecialityPodiatrist
Location2160 S 1st Ave, Maywood, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1407352289
  • Provider Enumeration Date: 04/02/2018
  • Last Update Date: 07/24/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 3870840655
  • Enrollment ID: I20230524001421

Medical Identifiers

Medical identifiers for Dana Gustafson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1407352289NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
213E00000XPodiatrist 135.001016 (Illinois)Primary

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. Dana Gustafson allows following entities to bill medicare on her behalf.
Provider NameBetsy Brogan Dpm Inc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1972810562
PECOS PAC ID: 9931096294
Enrollment ID: O20040302000226

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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. Dana 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
Dana Gustafson, DPM
2160 S 1st Ave,
Maywood, IL 60153-3328

Ph: (989) 513-3585
Dana Gustafson, DPM
2160 S 1st Ave,
Maywood, IL 60153-3328

Ph: (708) 216-9000

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Podiatrist in Maywood, IL

Dr. Bryce Andrew Paschold, D.P.M.
Podiatrist
Medicare: Accepting Medicare Assignments
Practice Location: 2160 S 1st Ave, Maywood, IL 60153
Phone: 708-216-4254    
Dr. John Junil Kim, DPM
Podiatrist
Medicare: Medicare Enrolled
Practice Location: 2160 S 1st Ave, Maywood, IL 60153
Phone: 708-216-6906    
Mohammed Aslam,
Podiatrist
Medicare: Medicare Enrolled
Practice Location: 2160 S 1st Ave, Maywood, IL 60153
Phone: 888-584-7888    
Francis Rottier, DPM
Podiatrist
Medicare: Accepting Medicare Assignments
Practice Location: 2160 S First Ave, Maguire Center, Room 1700, Maywood, IL 60153
Phone: 708-216-9000    Fax: 708-216-1225
Nikita Grama,
Podiatrist
Medicare: Medicare Enrolled
Practice Location: 2160 S 1st Ave, Maywood, IL 60153
Phone: 888-584-7888    
Jill Patel, DPM
Podiatrist
Medicare: Medicare Enrolled
Practice Location: 2160 S 1st Ave, Maywood, IL 60153
Phone: 708-216-4254    
Dr. Katherine Elizabeth Dux, DPM
Podiatrist
Medicare: Accepting Medicare Assignments
Practice Location: 2160 S 1st Ave, Maywood, IL 60153
Phone: 708-216-4254    Fax: 708-216-1225

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