Dr Luis A Bauzo, MD is a
Pediatrics physician based in Bomoseen, Vermont. Dr Luis A Bauzo is licensed to practice in Vermont (license number 042-0011290) and his current practice location is 275 Route 30 N, Bomoseen, Vermont. He can be reached at his office (for appointments etc.) via phone at
(802) 468-5641.
NPI number for Dr Luis A Bauzo is 1598930844 and his current mailing address is 71 Allen St, Ste 101, Rutland, Vermont. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1598930844.
Physician's Profile
| Full Name | Dr Luis A Bauzo |
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| Gender | Male |
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| Speciality | Pediatrics |
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| Location | 275 Route 30 N, Bomoseen, Vermont |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1598930844
- Provider Enumeration Date: 04/28/2008
- Last Update Date: 11/18/2016
Medical Identifiers
Medical identifiers for Dr Luis A Bauzo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1598930844 | NPI | - | NPPES |
| 03890448 | Medicaid | NY | |
| 1015069 | Medicaid | VT | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208000000X | Pediatrics | 042-0011290 (Vermont) | 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 Luis A Bauzo 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 |
|---|
Dr Luis A Bauzo, MD
71 Allen St, Ste 101,
Rutland, VT 05701-4570
Ph: (802) 772-4414 | Dr Luis A Bauzo, MD
275 Route 30 N,
Bomoseen, VT 05732-9647
Ph: (802) 468-5641 |
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