Mrs Sarah Bustos, MD is a medicare enrolled "Family Medicine" physician in Kohler, Wisconsin. She graduated from medical school in 2004 and has 20 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice St. Nicholas Hospital-sisters Of The Third Order Of St Francis and her current practice location is
950 Woodlake Rd, Kohler, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(920) 496-4700.
Mrs Sarah Bustos is licensed to practice in Wisconsin (license number 62136-020) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1396908505.
Physician's Profile
Full Name | Mrs Sarah Bustos |
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Gender | Female |
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Speciality | Family Practice |
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Experience | 20 Years |
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Location | 950 Woodlake Rd, Kohler, Wisconsin |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Mrs Sarah Bustos graduated from medical school in 2004
NPI Data:
- NPI Number: 1396908505
- Provider Enumeration Date: 07/08/2008
- Last Update Date: 02/09/2021
Medicare PECOS Information:
- PECOS PAC ID: 9335311208
- Enrollment ID: I20141110001603
Medical Identifiers
Medical identifiers for Mrs Sarah Bustos such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1396908505 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | MD.31121 (Alabama) | Secondary |
207Q00000X | Family Medicine | MT193190 (Pennsylvania) | Secondary |
207Q00000X | Family Medicine | 62136-020 (Wisconsin) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
St. Nicholas Hospital-sisters Of The Third Order Of St Francis | 8325931652 | 151 |
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. Mrs Sarah Bustos allows following entities to bill medicare on her behalf.
Entity Name | Prevea Clinic Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1306869276 PECOS PAC ID: 0042123150 Enrollment ID: O20031106000034 |
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Entity Name | St. Nicholas Hospital-sisters Of The Third Order Of St Francis |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1275799413 PECOS PAC ID: 8325931652 Enrollment ID: O20040202001172 |
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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. Mrs Sarah 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 |
Mrs Sarah Bustos, MD 950 Woodlake Rd, Kohler, WI 53044-1348 Ph: (920) 496-4700 | Mrs Sarah Bustos, MD 950 Woodlake Rd, Kohler, WI 53044-1348 Ph: (920) 496-4700 |
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