Peter John Mustillo, MD in Columbus, OH

Peter John Mustillo, MD is a medicare enrolled "Pediatrics - Pediatric Allergy/immunology" physician in Columbus, Ohio. His current practice location is 555 S 18th St, Columbus, Ohio. You can reach out to his office (for appointments etc.) via phone at (614) 722-6200.

Peter John Mustillo is licensed to practice in Ohio (license number 35073238) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1730173758.

Contact Information

	Peter John Mustillo, MD
	555 S 18th St, Columbus, OH 43205-2654
	(614) 722-6200
	Not Available

Map and Direction

Physician's Profile

Full Name	Peter John Mustillo
Gender	Male
Speciality	Pediatrics - Pediatric Allergy/immunology
Location	555 S 18th St, Columbus, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1730173758
Provider Enumeration Date: 09/06/2005
Last Update Date: 02/15/2022

Medicare PECOS Information:

PECOS PAC ID: 3870680200
Enrollment ID: I20071101000593

Medical Identifiers

Medical identifiers for Peter John Mustillo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1730173758	NPI	-	NPPES
3004870000	Medicaid	WV
H229700	Other	OH	CGS - MEDICARE
64047764	Medicaid	KY
2154403	Medicaid	OH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207K00000X	Allergy & Immunology	35073238 (Ohio)	Secondary
208000000X	Pediatrics	35073238 (Ohio)	Secondary
2080P0201X	Pediatrics - Pediatric Allergy/immunology	35073238 (Ohio)	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. Peter John Mustillo allows following entities to bill medicare on his behalf.

Entity Name	Pediatric Academic Association, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063419943 PECOS PAC ID: 2961306774 Enrollment ID: O20031124000198

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. Peter John Mustillo 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
Peter John Mustillo, MD 700 Childrens Dr, Columbus, OH 43205-2664 Ph: (614) 722-2000	Peter John Mustillo, MD 555 S 18th St, Columbus, OH 43205-2654 Ph: (614) 722-6200

Reviews and Comments

Pediatrics Doctors in Columbus, OH

Amrik Singh Khalsa, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 700 Childrens Dr, Columbus, OH 43205 Phone: 614-722-2000 Fax: 614-722-4966
Sara Foley Schroder, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2857 W Broad St, Columbus, OH 43204 Phone: 614-722-6200
Mr. Christopher Jones, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 700 Childrens Dr, Columbus, OH 43205 Phone: 614-722-2000
Claire Elizabeth Christian, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 700 Childrens Dr, Columbus, OH 43205 Phone: 614-722-2000
Laura Gardner Hamant, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 700 Childrens Dr, Columbus, OH 43205 Phone: 614-722-2000
Valentina Gutierrez, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 80 E Rich St Apt 819, Columbus, OH 43215 Phone: 380-242-1699
Leif Daniel Nelin, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 700 Childrens Dr, Columbus, OH 43205 Phone: 614-722-4559 Fax: 614-722-4541

Peter John Mustillo, MD - Medicare Pediatrics in Columbus, OH