Carlos Bautista, MD in Boise, ID - Medicare Family Practice

Carlos Bautista, MD is a medicare enrolled "Family Medicine" physician in Boise, Idaho. He graduated from medical school in 2002 and has 22 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Reno Sparks Indian Colony and his current practice location is 777 N Raymond St, Boise, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 514-2500.

Carlos Bautista is licensed to practice in New York (license number 243704-1) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1134417272.

Contact Information

	Carlos Bautista, MD
	777 N Raymond St, Boise, ID 83704-9251
	(208) 514-2500
	(208) 375-2217

Map and Direction

Physician's Profile

Full Name	Carlos Bautista
Gender	Male
Speciality	Family Practice
Experience	22 Years
Location	777 N Raymond St, Boise, Idaho
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Carlos Bautista graduated from medical school in 2002

NPI Data:

NPI Number: 1134417272
Provider Enumeration Date: 07/11/2011
Last Update Date: 07/11/2011

Medicare PECOS Information:

PECOS PAC ID: 3870810013
Enrollment ID: I20150326001526

Medical Identifiers

Medical identifiers for Carlos Bautista such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1134417272	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	243704-1 (New York)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Eden Home Health	Reno, NV	Home health agency
Renown South Meadows Medical Center	Reno, NV	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Reno Sparks Indian Colony	6507761897	6

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. Carlos Bautista allows following entities to bill medicare on his behalf.

Entity Name	Reno Sparks Indian Colony
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497700801 PECOS PAC ID: 6507761897 Enrollment ID: O20191009000361

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. Carlos 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 Address	Practice Location Address
Carlos Bautista, MD 777 N Raymond St, Boise, ID 83704-9251 Ph: (208) 514-2500	Carlos Bautista, MD 777 N Raymond St, Boise, ID 83704-9251 Ph: (208) 514-2500

Reviews and Comments

Family Medicine Doctors in Boise, ID

Dr. Maureen A Newman, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1055 N Curtis Rd, Boise, ID 83706 Phone: 208-302-5480
Jessica A Evert, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1055 N Curtis Rd, Boise, ID 83706 Phone: 208-367-7350
Tracy Adams, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 777 N Raymond St, Boise, ID 83704 Phone: 208-514-2500
Sarah A Hershman, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 777 N Raymond St, Boise, ID 83704 Phone: 208-514-2500 Fax: 208-375-2217
Summer E Szumski, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 777 N Raymond St, Boise, ID 83704 Phone: 208-514-2500 Fax: 208-375-2217
Dr. Thornton E Bryan Iii, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 701 E Parkcenter Blvd, Boise, ID 83706 Phone: 208-381-6500 Fax: 208-381-6505
Irvin E Sackman Jr., MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 130 E Boise Ave, Boise, ID 83706 Phone: 208-345-4066 Fax: 208-345-4196

Carlos Bautista, MD - Medicare Family Practice in Boise, ID