Stephanie Bustos, DPT in Houghton, MI - Medicare Physical Therapist Provider

Stephanie Bustos, DPT is a medicare enrolled "Physical Therapist" provider in Houghton, Michigan. Her current practice location is 47461 Us Highway 41, Houghton, Michigan. You can reach out to her office (for appointments etc.) via phone at (906) 285-6720.

Stephanie Bustos is licensed to practice in Michigan (license number 5501015918) 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 1306343918.

Contact Information

	Stephanie Bustos, DPT
	47461 Us Highway 41, Houghton, MI 49931-9016
	(906) 285-6720
	(906) 254-3554

Map and Direction

Healthcare Provider's Profile

Full Name	Stephanie Bustos
Gender	Female
Speciality	Physical Therapist
Location	47461 Us Highway 41, Houghton, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1306343918
Provider Enumeration Date: 04/10/2018
Last Update Date: 04/10/2024

Medicare PECOS Information:

PECOS PAC ID: 3779934724
Enrollment ID: I20240104000442

Medical Identifiers

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

Identifier	Type	State	Issuer
1306343918	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	5501015918 (Michigan)	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. Stephanie Bustos allows following entities to bill medicare on her behalf.

Provider Name	Revive Pelvic Health Pllc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1922789361 PECOS PAC ID: 6507217544 Enrollment ID: O20240104000380

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. Stephanie 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
Stephanie Bustos, DPT 19045 White Pine Ln, Houghton, MI 49931-9066 Ph: (906) 281-5544	Stephanie Bustos, DPT 47461 Us Highway 41, Houghton, MI 49931-9016 Ph: (906) 285-6720

Reviews and Comments

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Stephanie Bustos, DPT - Medicare Physical Therapist in Houghton, MI