Mr Logan Michael Bustos, CRNA - Medicare Nurse Anesthetist, Certified Registered in Coffeyville, KS

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Mr Logan Michael Bustos, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Coffeyville, Kansas. His current practice location is 101 S. Parkview St., Coffeyville, Kansas. You can reach out to his office (for appointments etc.) via phone at (620) 252-8766.

Mr Logan Michael Bustos is licensed to practice in Oklahoma (license number 213377) 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 1942938360.

Contact Information

Mr Logan Michael Bustos, CRNA
101 S. Parkview St.,
Coffeyville, KS 67337
(620) 252-8766
Not Available

Map and Direction




Provider's Profile

Full NameMr Logan Michael Bustos
GenderMale
SpecialityNurse Anesthetist, Certified Registered
Location101 S. Parkview St., Coffeyville, Kansas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1942938360
  • Provider Enumeration Date: 08/12/2022
  • Last Update Date: 03/04/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 0840650503
  • Enrollment ID: I20230713002150

Medical Identifiers

Medical identifiers for Mr Logan Michael Bustos such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1942938360NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 213377 (Oklahoma)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. Mr Logan Michael Bustos allows following entities to bill medicare on his behalf.
Entity NameSt. John Anesthesia Services, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265446579
PECOS PAC ID: 4789607938
Enrollment ID: O20060113000295
Entity NameNorthstar Anesthesia Of Oklahoma, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043516628
PECOS PAC ID: 1254519275
Enrollment ID: O20110622000357
Entity NameAnesthesia Medical Professionals Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962785931
PECOS PAC ID: 5991970279
Enrollment ID: O20111215000187

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. Mr Logan Michael Bustos 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
Mr Logan Michael Bustos, CRNA
101 S. Parkview St.,
Coffeyville, KS 67337

Ph: (620) 252-8766		Mr Logan Michael Bustos, CRNA
101 S. Parkview St.,
Coffeyville, KS 67337

Ph: (620) 252-8766

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Coffeyville, KS

Larry D Phipps, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 1400 W 4th St, Coffeyville, KS 67337
Phone: 620-252-1200    
Mrs. Julia Dawn Moses, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1400 W 4th St, Coffeyville, KS 67337
Phone: 620-251-1200    
Cole R Shawver,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1400 W 4th St, Coffeyville, KS 67337
Phone: 620-251-1200    

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.