Doris Pablo-bustos, Md Pc in Washington, DC - Medicare Internal Medicine

Doris Pablo-bustos, Md Pc is a medicare enrolled primary clinic (Internal Medicine) in Washington, District Of Columbia. The current practice location for Doris Pablo-bustos, Md Pc is 1140 Varnum St Ne Pmb 202, Washington, District Of Columbia. For appointments, you can reach them via phone at (202) 269-6430. The mailing address for Doris Pablo-bustos, Md Pc is 1140 Varnum St Ne Pmb 202, Washington, District Of Columbia and phone number is (202) 269-6430.

Doris Pablo-bustos, Md Pc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1659553253. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (202) 269-6430.

Contact Information

	Doris Pablo-bustos, Md Pc
	1140 Varnum St Ne Pmb 202 Washington DC 20017-2151
	(202) 269-6430
	(202) 269-6598

Map and Direction

Primary Care Clinic Profile

Full Name	Doris Pablo-bustos, Md Pc
Speciality	Internal Medicine
Location	1140 Varnum St Ne Pmb 202, Washington, District Of Columbia
Authorized Official Name and Position	Michelle Yrastorza (RCM)
Authorized Official Contact	2022696430
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Doris Pablo-bustos, Md Pc 1140 Varnum St Ne Pmb 202 Washington DC 20017-2151 Ph: (202) 269-6430	Doris Pablo-bustos, Md Pc 1140 Varnum St Ne Pmb 202 Washington DC 20017-2151 Ph: (202) 269-6430

NPI Details:

NPI Number	1659553253
Provider Enumeration Date	12/05/2007
Last Update Date	10/11/2024

Medicare PECOS Information:

Medicare PECOS PAC ID	1254463268
Medicare Enrollment ID	O20100709000220

Medical Identifiers

Medical identifiers for Doris Pablo-bustos, Md Pc such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1659553253	NPI	-	NPPES
0101056019	Other	VA	LICENSE
D0058776	Other	MD	LICENSE
033872900	Medicaid	DC
F8110001	Other	DC	BCBS
050883700	Medicaid	DC
3001576058000	Medicaid	VA
553223000	Medicaid	MD
MD30307	Other	DC	LICENSE
09D0948025	Other	DC	CLIA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	(* (Not Available))	Primary
261QP2300X	Clinic/center - Primary Care	(* (Not Available))	Secondary
302F00000X	Exclusive Provider Organization	(* (Not Available))	Secondary
302R00000X	Health Maintenance Organization	(* (Not Available))	Secondary
305R00000X	Preferred Provider Organization	(* (Not Available))	Secondary
305S00000X	Point Of Service	(* (Not Available))	Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Doris Pablo-bustos, Md Pc acts as a billing entity for following providers:

Provider Name	Doris V Pablo -bustos
Provider Type	Practitioner - Internal Medicine
Provider Identifiers	NPI Number: 1275635559 PECOS PAC ID: 5193857191 Enrollment ID: I20100709000175

Reviews and Comments

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Doris Pablo-bustos, Md Pc - Medicare Primary Care in Washington, DC