Dr Dan F Bautista, MD | |
1840 Commerce Center Blvd, Fairborn, OH 45324-6337 | |
(937) 754-4580 | |
(937) 754-4575 |
Full Name | Dr Dan F Bautista |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 33 Years |
Location | 1840 Commerce Center Blvd, Fairborn, Ohio |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1629006903 | NPI | - | NPPES |
300107 | Other | OH | AMERIGROUP PIN |
D7368201 | Other | OH | HUMANA |
310809436DAB | Other | OH | SUMMIT PIN |
32004929300 | Other | OH | BWC PIN |
5405631 | Other | OH | AETNA |
2897281 | Other | OH | CIGNA |
2080233 | Medicaid | OH | |
2871969 | Medicaid | OH | |
320049293027 | Other | OH | CARESOURCE |
000000259761 | Other | OH | BLUE CROSS BLUE SHIELD |
0109918 | Other | OH | UNITED HEALTHCARE |
P12036623 | Other | OH | MULTIPLAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 35073682B (Ohio) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Kettering Homecare | Kettering, OH | Home health agency |
Fidelity Health Care | Moraine, OH | Home health agency |
Grandview And Southview Hospitals | Dayton, OH | Hospital |
Soin Medical Center | Beaver creek, OH | Hospital |
Greene Memorial Hospital | Xenia, OH | Hospital |
Kettering Medical Center | Kettering, OH | Hospital |
Miami Valley Hospital | Dayton, OH | Hospital |
Entity Name | Dan F Bautista Md Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295953933 PECOS PAC ID: 0244264091 Enrollment ID: O20050921000987 |
Mailing Address | Practice Location Address |
---|---|
Dr Dan F Bautista, MD 1840 Commerce Center Blvd, Fairborn, OH 45324-6337 Ph: (937) 754-4580 | Dr Dan F Bautista, MD 1840 Commerce Center Blvd, Fairborn, OH 45324-6337 Ph: (937) 754-4580 |
Stefanie Kristine Lewis, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1045 Channingway Dr, Fairborn, OH 45324 Phone: 937-878-8645 Fax: 937-878-8646 | |
Charles J. Zeller Iii, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 1045 Channingway Dr., Fairborn, OH 45324 Phone: 937-878-8644 Fax: 937-878-8646 | |
Jessica D Gallagher, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 302 W Main St, Fairborn, OH 45324 Phone: 937-281-4673 | |
Dr. Kevin P Macy, DO Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 7790 Dayton Springfield Rd Ste B, Fairborn, OH 45324 Phone: 937-340-6440 Fax: 937-340-6441 | |
Joel D Macy, M.D. Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 7790 Dayton Springfield Rd Ste B, Fairborn, OH 45324 Phone: 937-340-6440 Fax: 937-340-6441 | |
Dr. Darci Lavonne Brown, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1045 Channingway Dr Ste A, Fairborn, OH 45324 Phone: 937-878-8644 Fax: 937-878-8646 | |
Anessa D Alappatt, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2180 Gateway Dr, Fairborn, OH 45324 Phone: 937-208-8155 Fax: 937-208-8140 |