| Jorge Luis Bustillo Gonzalez, APRN | |
|
1395 S State Road 7 Ste 420, Wellington, FL 33414-9327 | |
| (561) 204-4687 | |
| (561) 204-4694 |
| Full Name | Jorge Luis Bustillo Gonzalez |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 3 Years |
| Location | 1395 S State Road 7 Ste 420, Wellington, Florida |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912750597 | NPI | - | NPPES |
| 122688000 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 11032235 (Florida) | Primary |
| 363LP2300X | Nurse Practitioner - Primary Care | 11032235 (Florida) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Wellington Regional Medical Center | Wellington, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Travel Doctor Pl | 2567686090 | 42 |
| Medical Consultants Of Florida Llc | 6002988847 | 35 |
| The Clinicians, Llc | 7214154509 | 51 |
| Entity Name | Medical Consultants of Florida LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619169810 PECOS PAC ID: 6002988847 Enrollment ID: O20080710000450 |
| Entity Name | Travel Doctor Pl |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164842225 PECOS PAC ID: 2567686090 Enrollment ID: O20140624000336 |
| Entity Name | The Clinicians, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346669447 PECOS PAC ID: 7214154509 Enrollment ID: O20140811000750 |
| Mailing Address | Practice 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 |
Jossener Joseph, Nurse Practitioner Medicare: May Accept 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 |
Jami Lynn Fuccile, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10131 Forest Hill Blvd Ste 101, Wellington, FL 33414 Phone: 561-967-4118 Fax: 561-967-3463 |
Mrs. Jennifer Sanfilippo, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8440 Lake Worth Rd Ste 100, Wellington, FL 33467 Phone: 561-967-5033 |
Deanna Goulet, APRN-BC Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 1037 S State Road 7 Ste 211, Wellington, FL 33414 Phone: 561-798-3030 Fax: 561-798-8242 |
Germelia Gede, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10330 Nuvista Ave, Wellington, FL 33414 Phone: 872-231-3162 |
Doreen May East, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1217 Bay View Way, Wellington, FL 33414 Phone: 954-822-5134 Fax: 561-793-6418 |