Leticia Bustamante, in Brawley, CA - Medicare Nurse Practitioner

Leticia Bustamante, is a medicare enrolled "Nurse Practitioner" in Brawley, California. She graduated from nursing school in 2007 and has 17 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Family Health Centers Of San Diego, Inc and her current practice location is 751 West Legion Road, Suite 102, Brawley, California. You can reach out to her office (for appointments etc.) via phone at (760) 351-8696.

Leticia Bustamante is licensed to practice in California (license number FNP17877) 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 1609058924.

Contact Information

	Leticia Bustamante,
	751 West Legion Road, Suite 102, Brawley, CA 92227
	(760) 351-8696
	(760) 545-0253

Map and Direction

Provider's Profile

Full Name	Leticia Bustamante
Gender	Female
Speciality	Nurse Practitioner
Experience	17 Years
Location	751 West Legion Road, Brawley, California
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:

Leticia Bustamante graduated from nursing school in 2007

NPI Data:

NPI Number: 1609058924
Provider Enumeration Date: 11/28/2007
Last Update Date: 08/17/2023

Medicare PECOS Information:

PECOS PAC ID: 6406134402
Enrollment ID: I20161026001179

Medical Identifiers

Medical identifiers for Leticia Bustamante such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1609058924	NPI	-	NPPES
GR0066310	Medicaid	CA
FHC03830F	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	FNP17877 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Family Health Centers Of San Diego, Inc	3476446378	228

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. Leticia Bustamante allows following entities to bill medicare on her behalf.

Entity Name	Family Health Centers Of San Diego, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447281936 PECOS PAC ID: 3476446378 Enrollment ID: O20040204000923

Entity Name	Imperial Valley Family Care Medical Group A P C
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275581894 PECOS PAC ID: 0446243083 Enrollment ID: O20040407001358

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. Leticia 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
Leticia Bustamante, 823 Gateway Center Way, San Diego, CA 92102-4541 Ph: (619) 515-2300	Leticia Bustamante, 751 West Legion Road, Suite 102, Brawley, CA 92227 Ph: (760) 351-8696

Reviews and Comments

Nurse Practitioner Nurses in Brawley, CA

Ana Gabriela Duarte, MSN, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 900 Main St, Brawley, CA 92227 Phone: 760-344-6471
Mrs. Elena Cruz Niebel, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1166 K St, Brawley, CA 92227 Phone: 760-344-9151 Fax: 760-344-4092
Mrs. Claudia Patricia Charry Ortiz, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 155 S 6th St, Brawley, CA 92227 Phone: 760-550-6654
Mr. Mario Azael Lopez Esqueda, APRN, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 195 W Legion Rd, Brawley, CA 92227 Phone: 760-351-8669
Christina Ferrel Noriega, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 751 W Legion Rd, Brawley, CA 92227 Phone: 760-351-4400 Fax: 360-351-4819
Gabrielle Suzanne Clayton, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 900 Main St, Brawley, CA 92227 Phone: 760-344-6471 Fax: 760-344-8410
Mr. Richard Fitzsimmons, RNFNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 125 South 5th St, Brawley, CA 92227 Phone: 760-344-8100 Fax: 760-344-2628

Leticia Bustamante, - Medicare Nurse Practitioner in Brawley, CA