Dr Mayra S Bustillo, MD is a medicare enrolled "Pediatrics - Pediatric Pulmonology" physician in Franklin, Louisiana. Her current practice location is
1115 Weber St, Franklin, Louisiana. You can reach out to her office (for appointments etc.) via phone at
(337) 828-2550.
Dr Mayra S Bustillo is licensed to practice in Louisiana (license number 12129R) 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 1740231430.
Physician's Profile
Full Name | Dr Mayra S Bustillo |
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Gender | Female |
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Speciality | Pediatrics - Pediatric Pulmonology |
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Location | 1115 Weber St, Franklin, Louisiana |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1740231430
- Provider Enumeration Date: 05/15/2006
- Last Update Date: 06/17/2022
Medicare PECOS Information:
- PECOS PAC ID: 2466532189
- Enrollment ID: I20160511000313
Medical Identifiers
Medical identifiers for Dr Mayra S Bustillo such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1740231430 | NPI | - | NPPES |
081278601 | Medicaid | TX | |
1533467 | Medicaid | LA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2080P0214X | Pediatrics - Pediatric Pulmonology | L6308 (Texas) | Secondary |
2080P0214X | Pediatrics - Pediatric Pulmonology | 12129R (Louisiana) | 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. Dr Mayra S Bustillo allows following entities to bill medicare on her behalf.
Entity Name | Swla Center For Health Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1720014186 PECOS PAC ID: 9133029853 Enrollment ID: O20040109000902 |
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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. Dr Mayra S Bustillo 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 Mayra S Bustillo, MD 1115 Weber St, Franklin, LA 70538-4124 Ph: (337) 828-2550 | Dr Mayra S Bustillo, MD 1115 Weber St, Franklin, LA 70538-4124 Ph: (337) 828-2550 |
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