Dr Peter Jerome Bustamante, MD | |
13450 N Meridian St Ste 354, Carmel, IN 46032-1486 | |
(317) 338-5100 | |
Not Available |
Full Name | Dr Peter Jerome Bustamante |
---|---|
Gender | Male |
Speciality | Nephrology |
Experience | 21 Years |
Location | 13450 N Meridian St Ste 354, Carmel, Indiana |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063468304 | NPI | - | NPPES |
200826270 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 01060754A (Indiana) | Secondary |
207RN0300X | Internal Medicine - Nephrology | 01060754A (Indiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Ascension St Vincent Carmel | Carmel, IN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
St Vincent Medical Group Inc | 7012047640 | 626 |
Entity Name | St Vincent Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144513375 PECOS PAC ID: 7012047640 Enrollment ID: O20100609000045 |
Mailing Address | Practice Location Address |
---|---|
Dr Peter Jerome Bustamante, MD 13450 N Meridian St Ste 354, Carmel, IN 46032-1486 Ph: () - | Dr Peter Jerome Bustamante, MD 13450 N Meridian St Ste 354, Carmel, IN 46032-1486 Ph: (317) 338-5100 |
Dr. Shelagh Anne Fraser, MD Nephrology Medicare: Not Enrolled in Medicare Practice Location: 12174 N Meridian St Ste 300, Carmel, IN 46032 Phone: 317-688-9000 Fax: 317-680-9900 | |
Shania Grace Mayer, PA-C Nephrology Medicare: Medicare Enrolled Practice Location: 10300 N Illinois St Ste 1100, Carmel, IN 46290 Phone: 317-944-0980 | |
Robert Mark Kinn, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 13806 Stone Dr, Carmel, IN 46032 Phone: 317-893-1900 | |
Olivia Ann Fondoble, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 13430 N Meridian St Ste 280, Carmel, IN 46032 Phone: 317-582-8030 | |
Thomas L Hutchinson, M.D. Nephrology Medicare: Not Enrolled in Medicare Practice Location: 11725 Illinois Street, Suite 465, Carmel, IN 46032 Phone: 317-817-0010 Fax: 317-817-0012 | |
Eric Bain, Nephrology Medicare: Medicare Enrolled Practice Location: 10590 N Meridian St, Carmel, IN 46290 Phone: 317-338-6666 |