Dhielan Bungay Bustos, DPT in Montvale, NJ - Medicare Physical Therapist Provider

Dhielan Bungay Bustos, DPT is a medicare enrolled "Physical Therapist" provider in Montvale, New Jersey. His current practice location is 305 W Grand Ave, Montvale, New Jersey. You can reach out to his office (for appointments etc.) via phone at (844) 777-0910.

Dhielan Bungay Bustos is licensed to practice in * (Not Available) (license number ) 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 1538935853.

Contact Information

	Dhielan Bungay Bustos, DPT
	305 W Grand Ave, Montvale, NJ 07645-1813
	(844) 777-0910
	(201) 560-0712

Map and Direction

Healthcare Provider's Profile

Full Name	Dhielan Bungay Bustos
Gender	Male
Speciality	Physical Therapist
Location	305 W Grand Ave, Montvale, New Jersey
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1538935853
Provider Enumeration Date: 11/28/2023
Last Update Date: 11/28/2023

Medicare PECOS Information:

PECOS PAC ID: 6709220346
Enrollment ID: I20240222000328

Medical Identifiers

Medical identifiers for Dhielan Bungay Bustos such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1538935853	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	(* (Not Available))	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. Dhielan Bungay Bustos allows following entities to bill medicare on his behalf.

Provider Name	Kayal Medical Group, Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1528729159 PECOS PAC ID: 2961894019 Enrollment ID: O20220121001364

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. Dhielan Bungay 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
Dhielan Bungay Bustos, DPT 784 Franklin Ave Ste 250, Franklin Lakes, NJ 07417-1306 Ph: (844) 777-0910	Dhielan Bungay Bustos, DPT 305 W Grand Ave, Montvale, NJ 07645-1813 Ph: (844) 777-0910

Reviews and Comments

Physical Therapist in Montvale, NJ

Mr. Michael Kryagin, MS,PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 305 W Grand Ave, Montvale, NJ 07645 Phone: 201-291-8282 Fax: 201-391-8299
Kellie Jean Carpenter, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 221 W Grand Ave, Montvale, NJ 07645 Phone: 201-307-9209
Jennifer Yoo, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 126 Nottingham Ct, Montvale, NJ 07645 Phone: 917-554-0280
Summit Physical Therapy And Sports Care, Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 160 Summit Ave Ste 104, Montvale, NJ 07645 Phone: 201-627-0100 Fax: 201-746-6652
Julia Lynn Perez, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2 S Kinderkamack Rd Ste 208, Montvale, NJ 07645 Phone: 201-746-6577
Dr. Katrina Pizzichetta, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 225 Summit Ave, Montvale, NJ 07645 Phone: 201-775-7416
Annmarie Champagne, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 21 Philips Pkwy, Montvale, NJ 07645 Phone: 201-930-8700 Fax: 201-930-8730

Dhielan Bungay Bustos, DPT - Medicare Physical Therapist in Montvale, NJ