Bethany Bustamante, MD

Primary specialty

Gynecologic Oncology PhysicianTaxonomy code 207VX0201X

License

MD474646 Issued in PA

Practice address

2102 Harrisburg Pike
Lancaster, PA 17601-2644

Phone

(717) 544-9400

Fax

(717) 544-9401

NPI assigned

Sep 3, 2014

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Obstetrics/Gynecology

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Lancaster General Medical GroupGroup PAC ID 0941103683, 590 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Lancaster General Hospital Hospital, Lancaster, PA, CCN 390100

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bbustamante214958@direct-lghealth.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Lancaster General Medical Group

  • Psychiatry Physician
  • Lancaster, PA
  • NPI 1952392383
  Medicare reassignment Care Compare group NPD
• Lancaster General Medical Group

  • Obstetrics & Gynecology Physician
  • Lancaster, PA
  • NPI 1306724570
  NPD
• Lancaster General Medical Group

  • Surgery Physician
  • Lancaster, PA
  • NPI 1700145406
  NPD
• Lancaster General Medical Group

  • Family Medicine Physician
  • Strasburg, PA
  • NPI 1316912785
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Lancaster General Hospital

  • General Acute Care Hospital
  • Lancaster, PA
  • NPI 1104875103
  Care Compare affiliation
• Lancaster General Hospital

  • General Acute Care Hospital
  • Parkesburg, PA
  • NPI 1245571942
  Care Compare affiliation
• Lancaster General Hospital

  • Ambulatory Surgical Clinic/Center
  • Lancaster, PA
  • NPI 1538290424

  Hospital

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1409702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659398400000",
    "number": "1992105357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2102 HARRISBURG PIKE",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176012644",
            "telephone_number": "717-544-9400",
            "fax_number": "717-544-9401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2102 HARRISBURG PIKE",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176012644",
            "telephone_number": "717-544-9400",
            "fax_number": "717-544-9401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSTAMANTE",
        "first_name": "BETHANY",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-03",
        "last_updated": "2022-08-02",
        "certification_date": "2022-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VX0201X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "PA",
            "license": "MD474646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Lyn Bush, DO
• Julie C Bushong, LCSW
• Shayne N Bushong, D.C.
• Shirley J Bushong, CRNP
• Timothy Bushong, M.A.
• Day Butcher
• Jenna Butcher
• Amber Butler
• Joshua N. Butler, PA-C
• Katie E. Butler, P.A.

• Gynecologic Oncology Physician in Lancaster, PA
• Providers in Lancaster, PA by specialty
• Gynecologic Oncology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.