Mrs Chechelle Marie Tablang Bustamante, FNP is a medicare enrolled "Nurse Practitioner - Primary Care" in Brookeville, Maryland. She went to American Medical Missionary College and graduated in 2024 and has 1 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Medstar Urgent Care Llc, Zeus Primary Care Associates Llc, Medstar Urgent Care Llc and 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
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1487850715.
Provider's Profile
| Full Name | Mrs Chechelle Marie Tablang Bustamante |
|---|
| Gender | Female |
|---|
| Speciality | Nurse Practitioner |
|---|
| Experience | 1 Years |
|---|
| Location | 18409 Shady View Ln, Brookeville, Maryland |
|---|
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Mrs Chechelle Marie Tablang Bustamante attended and graduated from American Medical Missionary College in 2024
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 |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Medstar Urgent Care Llc | 9335303155 | 262 |
| Zeus Primary Care Associates Llc | 7113343443 | 8 |
| Medstar Urgent Care Llc | 9335303155 | 262 |
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