Kathleen Bustamante Viado Erezo, FNP in Virginia Beach, VA

Kathleen Bustamante Viado Erezo, FNP is a medicare enrolled "Nurse Practitioner - Family" in Virginia Beach, Virginia. She graduated from nursing school in 2012 and has 12 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Evms Academic Physicians And Surgeons Health Services Foundation, Sentara Medical Group and her current practice location is 1925 Glenn Mitchell Dr Ste 202, Virginia Beach, Virginia. You can reach out to her office (for appointments etc.) via phone at (757) 507-0900.

Kathleen Bustamante Viado Erezo is licensed to practice in Virginia (license number 0024170340) 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 1548505563.

Contact Information

	Kathleen Bustamante Viado Erezo, FNP
	1925 Glenn Mitchell Dr Ste 202, Virginia Beach, VA 23456-0177
	(757) 507-0900
	(757) 301-6462

Map and Direction

Provider's Profile

Full Name	Kathleen Bustamante Viado Erezo
Gender	Female
Speciality	Nurse Practitioner
Experience	12 Years
Location	1925 Glenn Mitchell Dr Ste 202, Virginia Beach, Virginia
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:

Kathleen Bustamante Viado Erezo graduated from nursing school in 2012

NPI Data:

NPI Number: 1548505563
Provider Enumeration Date: 12/03/2012
Last Update Date: 03/26/2024

Medicare PECOS Information:

PECOS PAC ID: 6709030091
Enrollment ID: I20130214000533

Medical Identifiers

Medical identifiers for Kathleen Bustamante Viado Erezo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1548505563	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	0024170340 (Virginia)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Sentara Princess Anne Hospital	Virginia beach, VA	Hospital
Sentara Norfolk General Hospital	Norfolk, VA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Evms Academic Physicians And Surgeons Health Services Foundation	5698675510	191
Sentara Medical Group	8921903923	1091

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. Kathleen Bustamante Viado Erezo allows following entities to bill medicare on her behalf.

Entity Name	Sentara Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1265485270 PECOS PAC ID: 8921903923 Enrollment ID: O20031203000466

Entity Name	Evms Academic Physicians And Surgeons Health Services Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003887118 PECOS PAC ID: 5698675510 Enrollment ID: O20040304001377

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. Kathleen Bustamante Viado Erezo 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
Kathleen Bustamante Viado Erezo, FNP 1925 Glenn Mitchell Dr Ste 202, Virginia Beach, VA 23456-0177 Ph: (757) 507-0900	Kathleen Bustamante Viado Erezo, FNP 1925 Glenn Mitchell Dr Ste 202, Virginia Beach, VA 23456-0177 Ph: (757) 507-0900

Reviews and Comments

Nurse Practitioner Nurses in Virginia Beach, VA

Dr. Ameanthea Rica Blanco-knezovich, DNP, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1300 Diamond Springs Rd, Ste 503, Virginia Beach, VA 23455 Phone: 757-656-1665
Clotilde Jorgina Ramos, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2025 Glenn Mitchell Dr, Virginia Beach, VA 23456 Phone: 757-507-1000
Tonja Marie Devolgado, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2075 Glenn Mitchell Dr Ste 512, Virginia Beach, VA 23456 Phone: 757-507-8850
Andrew Paul Leisring, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5500 Magnolia Run Cir Apt 107, Virginia Beach, VA 23464 Phone: 513-373-6017
Stephanie Cole Oldfield, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 225 Clearfield Ave, Virginia Beach, VA 23462 Phone: 757-457-5110 Fax: 757-466-3411
Ms. Patricia G Dudley, RNC, MSN, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1080 First Colonial Rd, Suite 300, Virginia Beach, VA 23454 Phone: 757-481-7222 Fax: 757-390-2935
Keisha Monique Baxter, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 770 Lynnhaven Pkwy Ste 240, Virginia Beach, VA 23452 Phone: 757-802-4500 Fax: 757-226-9002

Kathleen Bustamante Viado Erezo, FNP - Medicare Nurse Practitioner in Virginia Beach, VA