Freyli J Bustamante Gonzalez, MD - Medicare Radiology in Augusta, GA

  1. Home
  2. Radiology
  3. GA
  4. Augusta
Freyli J Bustamante Gonzalez, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Augusta, Georgia. Her current practice location is 1120 15th St, Augusta, Georgia. You can reach out to her office (for appointments etc.) via phone at (706) 721-7401.

Freyli J Bustamante Gonzalez is licensed to practice in Georgia (license number 009840) 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 1619474848.

Contact Information

Freyli J Bustamante Gonzalez, MD
1120 15th St,
Augusta, GA 30912-0004
(706) 721-7401
Not Available

Map and Direction




Physician's Profile

Full NameFreyli J Bustamante Gonzalez
GenderFemale
SpecialityRadiology - Diagnostic Radiology
Location1120 15th St, Augusta, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1619474848
  • Provider Enumeration Date: 04/13/2018
  • Last Update Date: 10/11/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 6608224878
  • Enrollment ID: I20231128003492

Medical Identifiers

Medical identifiers for Freyli J Bustamante Gonzalez such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1619474848NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology 009840 (Georgia)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. Freyli J Bustamante Gonzalez allows following entities to bill medicare on her behalf.
Entity NameAu Medical Associates Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1841230620
PECOS PAC ID: 9931013513
Enrollment ID: O20040107000188
Entity NameWellstar Medical Group, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558664003
PECOS PAC ID: 6709065402
Enrollment ID: O20110127000374
Entity NameAu Health Imaging, Llc
Entity TypePart B Supplier - Independent Diagnostic Testing Facility (idtf)
Entity IdentifiersNPI Number: 1487285193
PECOS PAC ID: 4688094105
Enrollment ID: O20201021001583

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. Freyli J Bustamante Gonzalez 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
Freyli J Bustamante Gonzalez, MD
1120 15th St,
Augusta, GA 30912-0004

Ph: () -		Freyli J Bustamante Gonzalez, MD
1120 15th St,
Augusta, GA 30912-0004

Ph: (706) 721-7401

Reviews and Comments


Radiology Doctors in Augusta, GA

Michael A Winkler, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 1120 15th St, Augusta, GA 30912
Phone: 706-721-8623    
Jagadishwar Devkota, M.D.
Radiology
Medicare: Not Enrolled in Medicare
Practice Location: 20 Winged Foot Dr, Augusta, GA 30907
Phone: 706-414-8235    Fax: 706-364-2606
Paul N. Karmin, MD
Radiology
Medicare: Not Enrolled in Medicare
Practice Location: 1120 15th St, Augusta, GA 30912
Phone: 706-721-9729    Fax: 706-721-8507
Juhi Bansal,
Radiology
Medicare: Medicare Enrolled
Practice Location: 1120 15th St, Augusta, GA 30912
Phone: 706-721-2273    
Dr. William Bruce Tannehill, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 630 13th St, Suite 250, Augusta, GA 30901
Phone: 706-724-2500    Fax: 706-823-5928
Dr. Kandace Rhea Klein, D.O.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 1120 15th St, Ba-1411, Augusta, GA 30912
Phone: 706-721-3233    
Dr. Corey Garvin, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 1120 15th St, Augusta, GA 30912
Phone: 352-286-9383    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.