Dr Rudolph Bustamante, MD - Pediatrics in Casa Grande, AZ

Dr Rudolph Bustamante, MD is a Pediatrics physician based in Casa Grande, Arizona. Dr Rudolph Bustamante is licensed to practice in Arizona (license number 6500) and his current practice location is 1856 E Florence Blvd, Casa Grande, Arizona. He can be reached at his office (for appointments etc.) via phone at (520) 381-0380.

NPI number for Dr Rudolph Bustamante is 1124088968 and his current mailing address is Po Box 10097, Casa Grande, Arizona. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1124088968.

Contact Information

Dr Rudolph Bustamante, MD
1856 E Florence Blvd,
Casa Grande, AZ 85122-5303
(520) 381-0380
(520) 836-1826



Physician's Profile

Full NameDr Rudolph Bustamante
GenderMale
SpecialityPediatrics
Location1856 E Florence Blvd, Casa Grande, Arizona
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1124088968
  • Provider Enumeration Date: 03/24/2006
  • Last Update Date: 10/14/2011

Medical Identifiers

Medical identifiers for Dr Rudolph Bustamante such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124088968NPI-NPPES
Z137312OtherMEDICARE
510984MedicaidAZ
03-1881OtherMEDICARE
03-31815OtherMEDICARE
ZFQ31815OtherMEDICARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 6500 (Arizona)Primary

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. Dr Rudolph Bustamante is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Rudolph Bustamante, MD
Po Box 10097,
Casa Grande, AZ 85130-0020

Ph: (520) 836-3446
Dr Rudolph Bustamante, MD
1856 E Florence Blvd,
Casa Grande, AZ 85122-5303

Ph: (520) 381-0380

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› Verified 5 days ago


Pediatrics Doctors in Casa Grande, AZ

Noelle Kristina Kolessar, PA
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1856 E Florence Blvd, Casa Grande, AZ 85122
Phone: 520-836-5036    
Dayaljibhai D. Patel, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1856 E. Florence Blvd., Sun Life Center For Children, Casa Grande, AZ 85122
Phone: 520-836-5036    Fax: 520-316-0365
Dr. Tina Yuling Liao, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1856 E Florence Blvd Ste 1, Casa Grande, AZ 85122
Phone: 520-836-5036    Fax: 520-316-0365
Dr. Robert Joseph Kull, D.O.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 1800 E Florence Blvd, Casa Grande, AZ 85222
Phone: 520-381-6559    Fax: 520-381-6019
Dr. Maria Mercedes Alba, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 1856 E Florence Blvd, Casa Grande, AZ 85122
Phone: 520-836-5036    Fax: 520-316-0365
Dr. Scott Samuel Schnee, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1760 E Florence Blvd, Suite 100, Casa Grande, AZ 85122
Phone: 520-421-7400    Fax: 520-421-7428

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