Dr Victoria Bustamante Avellaneda, PSYD is a medicare enrolled "Psychologist" provider in Clewiston, Florida. She graduated from medical school in 1997 and has 27 years of diverse experience with area of expertise as Clinical Psychologist. Her current practice location is
2100 Riviera Ave, Clewiston, Florida. You can reach out to her office (for appointments etc.) via phone at
(305) 439-6014.
Dr Victoria Bustamante Avellaneda is licensed to practice in Florida (license number PY 5919) 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 1740297266.
Healthcare Provider's Profile
| Full Name | Dr Victoria Bustamante Avellaneda |
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| Gender | Female |
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| Speciality | Clinical Psychologist |
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| Experience | 27 Years |
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| Location | 2100 Riviera Ave, Clewiston, Florida |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Victoria Bustamante Avellaneda graduated from medical school in 1997
NPI Data:
- NPI Number: 1740297266
- Provider Enumeration Date: 08/01/2006
- Last Update Date: 07/21/2022
Medicare PECOS Information:
- PECOS PAC ID: 5698813277
- Enrollment ID: I20091119000326
Medical Identifiers
Medical identifiers for Dr Victoria Bustamante Avellaneda such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1740297266 | NPI | - | NPPES |
| 0761575 00 | Medicaid | FL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 103T00000X | Psychologist | PY 5919 (Florida) | 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. Dr Victoria Bustamante Avellaneda allows following entities to bill medicare on her behalf.
| Entity Name | Avellaneda Psychological Servivces Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1215461124
PECOS PAC ID: 3577822154
Enrollment ID: O20180108001135 |
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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. Dr Victoria Bustamante Avellaneda 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 |
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Dr Victoria Bustamante Avellaneda, PSYD
2100 Riviera Ave,
Clewiston, FL 33440-9043
Ph: (305) 439-6014 | Dr Victoria Bustamante Avellaneda, PSYD
2100 Riviera Ave,
Clewiston, FL 33440-9043
Ph: (305) 439-6014 |
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