Mrs Chechelle Marie Tablang Bustamante, FNP in Brookeville, MD

Mrs Chechelle Marie Tablang Bustamante, FNP is a medicare enrolled "Nurse Practitioner - Primary Care" in Brookeville, Maryland. Her current practice location is 18409 Shady View Ln, Brookeville, Maryland. You can reach out to her office (for appointments etc.) via phone at (301) 273-5195.

Mrs Chechelle Marie Tablang Bustamante is licensed to practice in Maryland (license number R172810) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1487850715.

Contact Information

	Mrs Chechelle Marie Tablang Bustamante, FNP
	18409 Shady View Ln, Brookeville, MD 20833-2842
	(301) 273-5195
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Chechelle Marie Tablang Bustamante
Gender	Female
Speciality	Nurse Practitioner - Primary Care
Location	18409 Shady View Ln, Brookeville, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1487850715
Provider Enumeration Date: 06/24/2007
Last Update Date: 05/01/2024

Medicare PECOS Information:

PECOS PAC ID: 8224567110
Enrollment ID: I20250124003254

Medical Identifiers

Medical identifiers for Mrs Chechelle Marie Tablang Bustamante such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1487850715	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP2300X	Nurse Practitioner - Primary Care	R172810 (Maryland)	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. Mrs Chechelle Marie Tablang Bustamante allows following entities to bill medicare on her behalf.

Entity Name	Medstar Urgent Care Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902175870 PECOS PAC ID: 9335303155 Enrollment ID: O20120607000236

Entity Name	Zeus Primary Care Associates Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1457973026 PECOS PAC ID: 7113343443 Enrollment ID: O20200818001746

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. Mrs Chechelle Marie Tablang 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
Mrs Chechelle Marie Tablang Bustamante, FNP 18409 Shady View Ln, Brookeville, MD 20833-2842 Ph: (301) 273-5195	Mrs Chechelle Marie Tablang Bustamante, FNP 18409 Shady View Ln, Brookeville, MD 20833-2842 Ph: (301) 273-5195

Reviews and Comments

Nurse Practitioner Nurses in Brookeville, MD

Maribeth Mulsid Bugash, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2722 Silver Hammer Way, Brookeville, MD 20833 Phone: 240-507-0105
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Mrs Chechelle Marie Tablang Bustamante, FNP - Medicare Nurse Practitioner in Brookeville, MD