Jamie Leigh Bustamante, PHD in Salt Lake City, UT - Medicare Psychologist Provider

Jamie Leigh Bustamante, PHD is a medicare enrolled "Psychologist - Counseling" provider in Salt Lake City, Utah. Her current practice location is 409 W 400 S, Salt Lake City, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 364-0058.

Jamie Leigh Bustamante is licensed to practice in Utah (license number 102501922501) 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 1982097127.

Contact Information

	Jamie Leigh Bustamante, PHD
	409 W 400 S, Salt Lake City, UT 84101-1135
	(801) 364-0058
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jamie Leigh Bustamante
Gender	Female
Speciality	Psychologist - Counseling
Location	409 W 400 S, Salt Lake City, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1982097127
Provider Enumeration Date: 03/12/2015
Last Update Date: 08/09/2023

Medicare PECOS Information:

PECOS PAC ID: 3779898747
Enrollment ID: I20170616001956

Medical Identifiers

Medical identifiers for Jamie Leigh Bustamante such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1982097127	NPI	-	NPPES
1982097127	Medicaid	UT
20504	Medicaid	AZ

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	4602 (Arizona)	Secondary
103TC1900X	Psychologist - Counseling	102501922501 (Utah)	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. Jamie Leigh Bustamante allows following entities to bill medicare on her behalf.

Entity Name	Kindly Md, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225647480 PECOS PAC ID: 8921471897 Enrollment ID: O20230224001420

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. Jamie Leigh Bustamante 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
Jamie Leigh Bustamante, PHD 850 E 300 S Ste 6, Salt Lake City, UT 84102-2332 Ph: (018) 618-0852	Jamie Leigh Bustamante, PHD 409 W 400 S, Salt Lake City, UT 84101-1135 Ph: (801) 364-0058

Reviews and Comments

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Jamie Leigh Bustamante, PHD - Medicare Psychologist in Salt Lake City, UT