Micah S Bautista, RDN - Medicare Dietitian in Modesto, CA

Micah S Bautista, RDN is a medicare enrolled "Dietitian, Registered" provider in Modesto, California. Her current practice location is 600 Coffee Rd, Modesto, California. You can reach out to her office (for appointments etc.) via phone at (209) 550-4747.

Micah S Bautista is licensed to practice in California (license number 86289720) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1164175063.

Contact Information

Micah S Bautista, RDN
600 Coffee Rd,
Modesto, CA 95355-4201
(209) 550-4747
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameMicah S Bautista
GenderFemale
SpecialityDietitian, Registered
Location600 Coffee Rd, Modesto, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1164175063
  • Provider Enumeration Date: 01/31/2022
  • Last Update Date: 02/07/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 9931579539
  • Enrollment ID: I20221222001734

Medical Identifiers

Medical identifiers for Micah S Bautista such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164175063NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
133V00000XDietitian, Registered 86289720 (California)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Micah S Bautista allows following entities to bill medicare on her behalf.
Provider NameSutter Valley Medical Foundation
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1669846986
PECOS PAC ID: 9830094515
Enrollment ID: O20090311000335

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. Micah S Bautista is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Micah S Bautista, RDN
4601 Dale Rd,
Modesto, CA 95356-9718

Ph: (209) 735-5000
Micah S Bautista, RDN
600 Coffee Rd,
Modesto, CA 95355-4201

Ph: (209) 550-4747

Reviews and Comments


Dietitian, Registered in Modesto, CA

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Beth Goodridge, RD
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Mireille Salib,
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Practice Location: 4601 Dale Rd, Modesto, CA 95356
Phone: 209-735-5000    
Lauren Renee Pavlov, RD
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Practice Location: 1441 Florida Ave, Modesto, CA 95350
Phone: 209-578-1211    
Amanda Johnson, RD
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Medicare: Not Enrolled in Medicare
Practice Location: 4601 Dale Rd, Modesto, CA 95356
Phone: 209-735-5086    
Megan Mirza, RD
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Medicare: Medicare Enrolled
Practice Location: 600 Coffee Rd, Modesto, CA 95355
Phone: 209-550-4747    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.