B.L. Gustafson, LLC
NPI 1336204577ActiveOrganization· Ambulance· Smethport, PA
Ambulance in Smethport, Pennsylvania, registered in NPPES in December 2006. The authorized official on file is Brian Gustafson, Director. Medicare paid $21,135 for services to 17 patients in 2024.
Overview
| NPI | 1336204577 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 27, 2006 |
| Last updated in NPPES | Feb 20, 2025 |
| Certified by provider | Feb 20, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Ambulance Primary | 341600000X | 04097 | PA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Ambulance Service Supplier (PA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 17 |
|---|---|
| Services billed | 1,977 across 4 procedure codes |
| Paid by Medicare | $21,135 |
Other Ambulance providers in Smethport
- 1205432051