Dr Jessie Bautista Pita, MD in Staten Island, NY

Dr Jessie Bautista Pita, MD is a medicare enrolled "Pediatrics" physician in Staten Island, New York. Her current practice location is 235 Port Richmond Ave, Staten Island, New York. You can reach out to her office (for appointments etc.) via phone at (718) 876-1732.

Dr Jessie Bautista Pita is licensed to practice in New York (license number 189860) 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 1023136413.

Contact Information

	Dr Jessie Bautista Pita, MD
	235 Port Richmond Ave, Staten Island, NY 10302-1701
	(718) 876-1732
	(718) 876-3459

Map and Direction

Physician's Profile

Full Name	Dr Jessie Bautista Pita
Gender	Female
Speciality	Pediatrics
Location	235 Port Richmond Ave, Staten Island, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1023136413
Provider Enumeration Date: 03/26/2007
Last Update Date: 04/05/2012

Medicare PECOS Information:

PECOS PAC ID: 3072661701
Enrollment ID: I20160504001778

Medical Identifiers

Medical identifiers for Dr Jessie Bautista Pita such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1023136413	NPI	-	NPPES
060630000022	Other	NY	FIDELIS CARE
000155690012	Other	NY	AFFINITY
01178778	Other	NY	AMERIGROUP

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	189860 (New York)	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 Jessie Bautista Pita 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
Dr Jessie Bautista Pita, MD 235 Port Richmond Ave, Staten Island, NY 10302-1701 Ph: (718) 876-1732	Dr Jessie Bautista Pita, MD 235 Port Richmond Ave, Staten Island, NY 10302-1701 Ph: (718) 876-1732

Reviews and Comments

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Dr Jessie Bautista Pita, MD - Medicare Pediatrics in Staten Island, NY