| Jorge Bustillo, MD | |
|
2494 Bernville Road, Suite 205, Reading, PA 19605-9469 | |
| (610) 378-2996 | |
| (610) 208-8812 |
| Full Name | Jorge Bustillo |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 27 Years |
| Location | 2494 Bernville Road, Reading, Pennsylvania |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679537435 | NPI | - | NPPES |
| 580344 | Other | PA | MEDICARE |
| 0019586400010 | Medicaid | PA | |
| 745419800 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | D0078545 (Maryland) | Secondary |
| 207X00000X | Orthopaedic Surgery | MD421803 (Pennsylvania) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Pinnacle Health Hospitals | Harrisburg, PA | Hospital |
| Heart Of Lancaster Regional Medical Center | Lititz, PA | Hospital |
| Reading Hospital | West reading, PA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Pinnacle Health Regional Physicians | 7416228358 | 146 |
| Pinnacle Health Medical Services | 7618960493 | 976 |
| Entity Name | Pinnacle Health Medical Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932143427 PECOS PAC ID: 7618960493 Enrollment ID: O20040407000180 |
| Entity Name | Pinnacle Health Regional Physicians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013441690 PECOS PAC ID: 7416228358 Enrollment ID: O20170810001731 |
| Entity Name | Penn State Health Community Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861988644 PECOS PAC ID: 8729351077 Enrollment ID: O20170907002279 |
| Mailing Address | Practice Location Address |
|---|---|
| Jorge Bustillo, MD 2500 Bernville Road, Reading, PA 19605-9453 Ph: (610) 378-2000 | Jorge Bustillo, MD 2494 Bernville Road, Suite 205, Reading, PA 19605-9469 Ph: (610) 378-2996 |
Dr. John A Martin Jr., M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 11 Fairlane Rd, Reading, PA 19606 Phone: 610-779-2663 Fax: 610-779-3367 | |
Christopher Schumacher, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2494 Bernville Rd Ste 205, Reading, PA 19605 Phone: 610-378-2996 Fax: 610-208-8812 | |
Dr. John C Dethoff, M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 11 Fairlane Rd, Reading, PA 19606 Phone: 610-779-2663 Fax: 610-779-3367 | |
Brett Campbell, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2494 Bernville Rd Ste 200, Reading, PA 19605 Phone: 610-378-2996 Fax: 610-208-8812 | |
Dr. John P Stelmach, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 11 Fairlane Rd, Reading, PA 19606 Phone: 610-779-2663 Fax: 610-779-3367 | |
Justin Clayton, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2494 Bernville Rd, Suite 203, Reading, PA 19605 Phone: 610-378-2996 Fax: 610-208-8812 |