Jorge Mario Gomez Bustamante, MD in Riverview, FL

Jorge Mario Gomez Bustamante, MD is a medicare enrolled "General Practice" physician in Riverview, Florida. He graduated from medical school in 1997 and has 27 years of diverse experience with area of expertise as General Practice. He is a member of the group practice Cano Health, Llc and his current practice location is 10508 Gibsonton Dr, Riverview, Florida. You can reach out to his office (for appointments etc.) via phone at (855) 226-6633.

Jorge Mario Gomez Bustamante is licensed to practice in Florida (license number ACN980) 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 1184133050.

Contact Information

	Jorge Mario Gomez Bustamante, MD
	10508 Gibsonton Dr, Riverview, FL 33578-5434
	(855) 226-6633
	Not Available

Map and Direction

Physician's Profile

Full Name	Jorge Mario Gomez Bustamante
Gender	Male
Speciality	General Practice
Experience	27 Years
Location	10508 Gibsonton Dr, Riverview, Florida
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jorge Mario Gomez Bustamante graduated from medical school in 1997

NPI Data:

NPI Number: 1184133050
Provider Enumeration Date: 09/23/2017
Last Update Date: 03/05/2024

Medicare PECOS Information:

PECOS PAC ID: 5597092908
Enrollment ID: I20190808000305

Medical Identifiers

Medical identifiers for Jorge Mario Gomez Bustamante such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1184133050	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208D00000X	General Practice	19770 (Puerto Rico)	Secondary
208D00000X	General Practice	ACN980 (Florida)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Cano Health, Llc	1759565047	247

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. Jorge Mario Gomez Bustamante allows following entities to bill medicare on his behalf.

Entity Name	Cano Health, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1689901688 PECOS PAC ID: 1759565047 Enrollment ID: O20110411000829

Entity Name	Cano Medical Center Of West Florida Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700387644 PECOS PAC ID: 4486902400 Enrollment ID: O20180808001932

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. Jorge Mario Gomez 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
Jorge Mario Gomez Bustamante, MD 10508 Gibsonton Dr, Riverview, FL 33578-5434 Ph: (855) 226-6633	Jorge Mario Gomez Bustamante, MD 10508 Gibsonton Dr, Riverview, FL 33578-5434 Ph: (855) 226-6633

Reviews and Comments

General Practice Doctors in Riverview, FL

Dr. Jaime R. Gierbolini, M. D. General Practice Medicare: Accepting Medicare Assignments Practice Location: 10141 Big Bend Rd Ste 206, Riverview, FL 33578 Phone: 813-397-1274 Fax: 813-605-6003
Kristina Mabel Nieves Quinones, MD General Practice Medicare: Medicare Enrolled Practice Location: 9088 Progress Blvd, Riverview, FL 33578 Phone: 813-444-0220 Fax: 813-367-1961
Maria Aurora Campa Huergo, MD General Practice Medicare: Not Enrolled in Medicare Practice Location: 10508 Gibsonton Dr, Riverview, FL 33578 Phone: 813-741-2100 Fax: 813-741-2003
Dr. Frederick E. Taylor, D.O. General Practice Medicare: Not Enrolled in Medicare Practice Location: 10141 Big Bend Rd., Suite 101, Riverview, FL 33578 Phone: 813-397-1270 Fax: 813-397-1271
Dr. Melissa Dawn Fickey, M.D. General Practice Medicare: Not Enrolled in Medicare Practice Location: 6332 Us Highway 301 S, Riverview, FL 33578 Phone: 813-662-5919 Fax: 813-671-8374
Raul Ernesto Ayala, M.D General Practice Medicare: Accepting Medicare Assignments Practice Location: 10508 Gibsonton Dr, Riverview, FL 33569 Phone: 813-741-2100 Fax: 813-741-2003

Jorge Mario Gomez Bustamante, MD - Medicare General Practice in Riverview, FL