Dr. Doris V Pablo-bustos, MD
Internal Medicine Physician in Washington, District of Columbia
NPI 1275635559
Doris V Pablo-bustos is a Internal Medicine Physician based in Washington, DC. Doris V Pablo-bustos practices in Washington, DC and has the professional credentials of MD. The NPI Number for Doris V Pablo-bustos is 1275635559 and holds a License No. 0101056019 (District of Columbia).
The current practice location address for Doris V Pablo-bustos is 1140 Varnum St Ne Pmb 202, Washington, DC and can be reached out via phone at 202-269-6430 and via fax at 202-269-6598.
Location: 1140 Varnum St Ne Pmb 202, Washington, DC, 20017-2151
Provider Profile Details
NPI Number
1275635559
Provider Name
Doris V Pablo-bustos
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1140 Varnum St Ne Pmb 202, Washington, DC, 20017-2151
Phone Number
202-269-6430
Fax Number
202-269-6598
Provider Enumeration Date
09/05/2006
Last Update Date
10/19/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 033872900 | 05 | DC | |
| 050883700 | 05 | DC | |
| F811-0001 | 01 | VA | CAREFIRST BCBS |
| 510223500 | 05 | MD |
Provider Business Practice Location Address Details
Address
1140 Varnum St Ne Pmb 202
City
State
Zip
20017-2151
Phone Number
202-269-6430
Fax Number
202-269-6598
Provider Business Mailing Address Details
Address
1140 Varnum St Ne Pmb 202
City
State
Zip
20017-2151
Phone Number
202-269-6430
Fax Number
202-269-6598
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
-
Taxonomy
License No.
MD30307 (District of Columbia)
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
License No.
0101056019 (Virginia)
Definition
Definition to come...
Provider's Taxonomy Details 3
Type
Managed Care Organizations
Classification
Exclusive Provider Organization
Speciality
-
Taxonomy
License No.
MD30307 (District of Columbia)
Definition
(1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO allows patients to go outside the network for care, if they do so in an EPO, they are required to pay the entire cost of care. An EPO differs from an HMO in that EPO physicians do not receive capitation but instead are reimbursed only for actual services provided; (3) An organization identical to a preferred provider organization except that persons enrolled in the plan are eligible to receive benefits only when they use the services of the contracting providers. No benefits are available when non-contracting providers are used, except in certain emergency situations.
Provider's Taxonomy Details 4
Type
Managed Care Organizations
Classification
Health Maintenance Organization
Speciality
-
Taxonomy
License No.
D0058776 (Maryland)
Definition
(1) A form of health insurance in which its members prepay a premium for the HMO's health services which generally include inpatient and ambulatory care. For the patient, an HMO means reduced out-of-pocket costs (i.e. no deductible), no paperwork (i.e. insurance forms), and only a small copayment for each office visit to cover the paperwork handled by the HMO; (2) A organization of health care personnel and facilities that provides a comprehensive range of health services to an enrolled population for a fixed sum of money paid in advance for a specified period of time. These health services include a wide variety of medical treatments and consults, inpatient and outpatient hospitalization, home health service, ambulance service, and sometimes dental and pharmacy services. The HMO may be organized as a group model, an individual practice association (IPA), a network model or a staff model.
Provider's Taxonomy Details 5
Type
Managed Care Organizations
Classification
Preferred Provider Organization
Speciality
-
Taxonomy
License No.
MD30307 (District of Columbia)
Definition
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.
Provider's Taxonomy Details 6
Type
Managed Care Organizations
Classification
Point of Service
Speciality
-
Taxonomy
License No.
0101056019 (Virginia)
Definition
This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.
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