Virginia Bautista, DDS,MDS is a
Dentist - General Practice based in Redlake, Minnesota. Virginia Bautista is licensed to practice in Washington (license number DE61216744) and her current practice location is
24760 Hospital Drive, Redlake, Minnesota. She can be reached at her office (for appointments etc.) via phone at
(218) 679-0119.
NPI number for Virginia Bautista is 1033878848 and her current mailing address is 2516 Calihan Ave Ne, Bemidji, Minnesota. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1033878848.
Healthcare Provider's Profile
Full Name | Virginia Bautista |
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Gender | Female |
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Speciality | Dentist - General Practice |
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Location | 24760 Hospital Drive, Redlake, Minnesota |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1033878848
- Provider Enumeration Date: 12/09/2021
- Last Update Date: 09/25/2023
Medical Identifiers
Medical identifiers for Virginia Bautista such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1033878848 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
122300000X | Dentist | DE61216744 (Washington) | Secondary |
1223G0001X | Dentist - General Practice | DE61216744 (Washington) | 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. Virginia Bautista 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 Address | Practice Location Address |
Virginia Bautista, DDS,MDS 2516 Calihan Ave Ne, Bemidji, MN 56601-2338 Ph: (585) 749-6733 | Virginia Bautista, DDS,MDS 24760 Hospital Drive, Redlake, MN 56671 Ph: (218) 679-0119 |
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