Jorge Luis Bustillo Gonzalez, APRN - Medicare Nurse Practitioner in Wellington, FL

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Jorge Luis Bustillo Gonzalez, APRN is a medicare enrolled "Nurse Practitioner - Family" in Wellington, Florida. His current practice location is 1395 S State Road 7 Ste 420, Wellington, Florida. You can reach out to his office (for appointments etc.) via phone at (561) 204-4687.

Jorge Luis Bustillo Gonzalez is licensed to practice in Florida (license number 11032235) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1912750597.

Contact Information

Jorge Luis Bustillo Gonzalez, APRN
1395 S State Road 7 Ste 420,
Wellington, FL 33414-9327
(561) 204-4687
(561) 204-4694

Map and Direction




Provider's Profile

Full NameJorge Luis Bustillo Gonzalez
GenderMale
SpecialityNurse Practitioner - Family
Location1395 S State Road 7 Ste 420, Wellington, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1912750597
  • Provider Enumeration Date: 04/11/2024
  • Last Update Date: 05/08/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 1850833559
  • Enrollment ID: I20240610002611

Medical Identifiers

Medical identifiers for Jorge Luis Bustillo Gonzalez such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1912750597NPI-NPPES
122688000MedicaidFL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP2300XNurse Practitioner - Primary Care 11032235 (Florida)Secondary
363LF0000XNurse Practitioner - Family 11032235 (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. Jorge Luis Bustillo Gonzalez allows following entities to bill medicare on his behalf.
Entity NameNova Medical Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952941346
PECOS PAC ID: 1759705148
Enrollment ID: O20200717001851

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 Luis Bustillo Gonzalez 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 AddressPractice Location Address
Jorge Luis Bustillo Gonzalez, APRN
Po Box 4189,
Deerfield Beach, FL 33442-4189

Ph: (702) 573-4606		Jorge Luis Bustillo Gonzalez, APRN
1395 S State Road 7 Ste 420,
Wellington, FL 33414-9327

Ph: (561) 204-4687

Reviews and Comments


Nurse Practitioner Nurses in Wellington, FL

Jossener Joseph,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 13837 Sheffield St, Wellington, FL 33414
Phone: 561-818-4151    
Jennifer Sierra, ARNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 13421 S Shore Blvd Ste 101, Wellington, FL 33414
Phone: 561-440-1616    Fax: 561-440-2030
Nalini Vijayvergia, APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 3347 S State Road 7 Ste 203, Wellington, FL 33449
Phone: 561-893-6100    Fax: 561-793-1974
Ligemie Joseph Jones, FNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1150 Kinglet Ter, Wellington, FL 33414
Phone: 561-503-9944    
Jenelle Prefontaine, APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 10115 Forest Hill Blvd Ste 200, Wellington, FL 33414
Phone: 561-800-2128    Fax: 561-209-2456
Janice Carol Imhoff, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 10101 W Forest Hill Blvd, Wellington, FL 33414
Phone: 561-798-8535    
Natacha Etienne, APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1706 Carriage Brooke Dr, Wellington, FL 33414
Phone: 561-847-4794    Fax: 561-847-4574

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.