Mary Vic Amor Mendija Bustillo, NP in San Jose, CA

Mary Vic Amor Mendija Bustillo, NP is a medicare enrolled "Nurse Practitioner - Family" in San Jose, California. Her current practice location is 1375 Blossom Hill Rd, Suite 49, San Jose, California. You can reach out to her office (for appointments etc.) via phone at (408) 646-0261.

Mary Vic Amor Mendija Bustillo is licensed to practice in California (license number 20532) 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 1851661276.

Contact Information

	Mary Vic Amor Mendija Bustillo, NP
	1375 Blossom Hill Rd, Suite 49, San Jose, CA 95118-3806
	(408) 646-0261
	Not Available

Map and Direction

Provider's Profile

Full Name	Mary Vic Amor Mendija Bustillo
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1375 Blossom Hill Rd, San Jose, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1851661276
Provider Enumeration Date: 01/02/2012
Last Update Date: 09/09/2014

Medicare PECOS Information:

PECOS PAC ID: 9133551914
Enrollment ID: I20191115002457

Medical Identifiers

Medical identifiers for Mary Vic Amor Mendija Bustillo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1851661276	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	20532 (California)	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. Mary Vic Amor Mendija Bustillo allows following entities to bill medicare on her behalf.

Entity Name	American Current Care Of California A Medical Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750573622 PECOS PAC ID: 5799854303 Enrollment ID: O20080522000420

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. Mary Vic Amor Mendija Bustillo 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
Mary Vic Amor Mendija Bustillo, NP 1375 Blossom Hill Rd, Suite 49, San Jose, CA 95118-3806 Ph: (408) 646-0261	Mary Vic Amor Mendija Bustillo, NP 1375 Blossom Hill Rd, Suite 49, San Jose, CA 95118-3806 Ph: (408) 646-0261

Reviews and Comments

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Mary Vic Amor Mendija Bustillo, NP - Medicare Nurse Practitioner in San Jose, CA