Ms Jo-anne Bustamante, PAC is a medicare enrolled "Physician Assistant" physician in Glendale, California. Her current practice location is
1818 Verdugo Blvd Ste 304, Glendale, California. You can reach out to her office (for appointments etc.) via phone at
(818) 790-3588.
Ms Jo-anne Bustamante is licensed to practice in California (license number 16953) 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 1700971611.
Physician's Profile
Full Name | Ms Jo-anne Bustamante |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 1818 Verdugo Blvd Ste 304, Glendale, California |
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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: 1700971611
- Provider Enumeration Date: 10/04/2006
- Last Update Date: 01/24/2018
Medicare PECOS Information:
- PECOS PAC ID: 8022070598
- Enrollment ID: I20041028000222
Medical Identifiers
Medical identifiers for Ms Jo-anne Bustamante such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1700971611 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207NS0135X | Dermatology - Procedural Dermatology | PA16953 (California) | Secondary |
363A00000X | Physician Assistant | 16953 (California) | 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. Ms Jo-anne Bustamante 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 |
Ms Jo-anne Bustamante, PAC 1818 Verdugo Blvd Ste 304, Glendale, CA 91208-1444 Ph: (818) 790-3588 | Ms Jo-anne Bustamante, PAC 1818 Verdugo Blvd Ste 304, Glendale, CA 91208-1444 Ph: (818) 790-3588 |
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