Dr Juan Guillermo Bastidas, MD is a medicare enrolled "Thoracic Surgery (cardiothoracic Vascular Surgery)" physician in Ashland, Kentucky. He graduated from medical school in 1998 and has 26 years of diverse experience with area of expertise as Thoracic Surgery. He is a member of the group practice St. Mary's Medical Management, Llc and his current practice location is
613 23rd St Ste 210, Ashland, Kentucky. You can reach out to his office (for appointments etc.) via phone at
(606) 326-9847.
Dr Juan Guillermo Bastidas is licensed to practice in Kentucky (license number 49423) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1033301080.
Physician's Profile
| Full Name | Dr Juan Guillermo Bastidas |
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| Gender | Male |
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| Speciality | Thoracic Surgery |
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| Experience | 26 Years |
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| Location | 613 23rd St Ste 210, Ashland, Kentucky |
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| Accepts Medicare Assignments | Yes. He 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 Juan Guillermo Bastidas graduated from medical school in 1998
NPI Data:
- NPI Number: 1033301080
- Provider Enumeration Date: 08/14/2007
- Last Update Date: 07/21/2017
Medicare PECOS Information:
- PECOS PAC ID: 7315008950
- Enrollment ID: I20230828002526
Medical Identifiers
Medical identifiers for Dr Juan Guillermo Bastidas such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1033301080 | NPI | - | NPPES |
| 0193538 | Medicaid | OH | |
| 7100454120 | Medicaid | KY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208600000X | Surgery | MD.201742 (Louisiana) | Secondary |
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | A115149 (California) | Secondary |
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 49423 (Kentucky) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| St. Mary's Medical Management, Llc | 5890897151 | 83 |
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 Juan Guillermo Bastidas allows following entities to bill medicare on his behalf.
| Entity Name | St. Mary's Medical Management, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1922155217
PECOS PAC ID: 5890897151
Enrollment ID: O20070216000690 |
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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 Juan Guillermo Bastidas 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 Juan Guillermo Bastidas, MD
Po Box 2379,
Ashland, KY 41105-2379
Ph: (606) 408-6200 | Dr Juan Guillermo Bastidas, MD
613 23rd St Ste 210,
Ashland, KY 41101-2868
Ph: (606) 326-9847 |
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