Eduardo Alejandro Bustamante Jr., MD
Individual provider Active NPI Ophthalmology Physician · Woodruff, WI
NPI 1154711513 · NPPES record last updated Jun 21, 2024
Key facts
- NPI
- 1154711513
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Ophthalmology Physician 207W00000X
- License
- 83664-20 (WI)
- Practice address
- PO Box 1520
Woodruff, WI 54568-1520 - Phone
- (715) 356-2262
- Fax
- (715) 356-2257
- NPI assigned
- Jan 23, 2015
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Ophthalmology
- Education
- Northwestern University Feinberg Medical School, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Redman and Gelinas SC
Practice addresses (Care Compare)
698 S 4TH Ave
Park Falls, WI 54552-0068
Phone (715) 762-2300
Hospital & facility affiliations
- Howard Young Medical Center
- Marshfield Medical Center - Minocqua
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.03 of 100
- Quality
- 78.29
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 418 |
| Removal or shaving of skin growth | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240610001807 | WI | Practitioner - Ophthalmology | 4183910664 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Redman & Gelinas SC | Optometrist | Current |
Accepting new patients |
| Redman & Gelinas SC | Optometrist | Current |
Accepting new patients |
| Redman & Gelinas SC | Optometrist | Past | Accepting new patients |
Locations
141 S Willow St
Ste 102
Eagle River, WI 54521
Phone (715) 479-9390
141B S Willow St
Eagle River, WI 54521
9576 State Highway 70
Minocqua, WI 54548
Phone (715) 358-1000
698 4th Ave S
Park Falls, WI 54552
Phone (715) 762-2300
Interoperability endpoints
- ebustamante@redmangelinaseyecare.intellechartdirect.net
- eduardo.bustamante.p1@direct.genstlereyecenter.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | ME144452 | FL | |
| Ophthalmology Physician | 207W00000X | 83664-20 | WI | Yes |
Addresses
Primary practice location
PO Box 1520
Woodruff, WI 54568-1520
Mailing address
PO Box 1520
Woodruff, WI 54568-1520
Phone (715) 356-2262
Other practice location 1
2201 S 10th St
Fort Pierce, FL 34950-5382
Phone (772) 461-2020
Other providers in Woodruff, WI
- Mary Joy G Borton
- Buffington Optometry LLC
- Kathleen Erin Buffington
- Mary C Burg
- Frank Burkett
- Christine Liesen John J Pinzl DDS SC
- Benjamin Collins
- Comprehensive Foot & Ankle, SC
- Keith Leotis Cosby Sr.
- Niki Nicole Cosby
All providers in Woodruff, WI · Ophthalmology Physician in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 21, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.