Dr Elwin G Bustos, MD is a medicare enrolled "Specialist" physician in Washington, District Of Columbia. His current practice location is
1140 Varnum St Ne Pmb 202, Washington, District Of Columbia. You can reach out to his office (for appointments etc.) via phone at
(202) 269-6430.
Dr Elwin G Bustos is licensed to practice in District Of Columbia (license number MD19909) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1467543686.
Physician's Profile
| Full Name | Dr Elwin G Bustos |
|---|
| Gender | Male |
|---|
| Speciality | |
|---|
| Experience | Years |
|---|
| Location | 1140 Varnum St Ne Pmb 202, Washington, District Of Columbia |
|---|
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
|---|
Medical Education and Training:
- Dr Elwin G Bustos attended and graduated from in
NPI Data:
- NPI Number: 1467543686
- Provider Enumeration Date: 09/27/2006
- Last Update Date: 10/11/2024
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Elwin G Bustos such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1467543686 | NPI | - | NPPES |
| 011630100 | Medicaid | DC | |
| 055092400 | Medicaid | DC | |
| 110167563 | Other | | RAILROAD |
| 541897047 | Other | | ALL OTHER INSURANCES |
| 96121 | Other | | AMERIGROUP |
| 44320001 | Other | | BCBSHIELD |
| 0401616 | Other | | EVERCARE MARYLAND |
| 1059 | Other | | ELDER HEALTH |
| 09D0948025 | Other | DC | CLIA |
| S10081 | Other | | CHARTERED HEALTH PLAN |
| 825900200 | Medicaid | MD | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207RN0300X | Internal Medicine - Nephrology | 0101048655 (Virginia) | Secondary |
| 207RN0300X | Internal Medicine - Nephrology | MD19909 (District Of Columbia) | Secondary |
| 207RN0300X | Internal Medicine - Nephrology | D0042936 (Maryland) | Secondary |
| 261QP2300X | Clinic/center - Primary Care | MD19909 (District Of Columbia) | Secondary |
| 302R00000X | Health Maintenance Organization | MD19909 (District Of Columbia) | Secondary |
| 302R00000X | Health Maintenance Organization | 0101048655 (Virginia) | Secondary |
| 305R00000X | Preferred Provider Organization | 0101048655 (Virginia) | Secondary |
| 305R00000X | Preferred Provider Organization | MD19909 (District Of Columbia) | Secondary |
| 305R00000X | Preferred Provider Organization | D0042936 (Maryland) | Secondary |
| 305S00000X | Point Of Service | MD19909 (District Of Columbia) | Secondary |
| 174400000X | Specialist | MD19909 (District Of Columbia) | Primary |
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 Elwin G Bustos 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 Elwin G Bustos, MD
1140 Varnum St Ne Pmb 202,
Washington, DC 20017-2151
Ph: (202) 269-6430 | Dr Elwin G Bustos, MD
1140 Varnum St Ne Pmb 202,
Washington, DC 20017-2151
Ph: (202) 269-6430 |
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