Dr Nicole Marie Bautista, MD in Valparaiso, IN

Dr Nicole Marie Bautista, MD is a medicare enrolled "Internal Medicine - Nephrology" physician in Valparaiso, Indiana. She went to George Washington University School Of Medicine and graduated in 2009 and has 16 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Permanente Medical Group Inc and her current practice location is 606 Lincolnway, Valparaiso, Indiana. You can reach out to her office (for appointments etc.) via phone at (219) 462-6001.

Dr Nicole Marie Bautista is licensed to practice in Indiana (license number 01074301A) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1558596585.

Contact Information

	Dr Nicole Marie Bautista, MD
	606 Lincolnway, Valparaiso, IN 46383-5728
	(219) 462-6001
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Nicole Marie Bautista
Gender	Female
Speciality	Internal Medicine
Experience	16 Years
Location	606 Lincolnway, Valparaiso, Indiana
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Nicole Marie Bautista attended and graduated from George Washington University School Of Medicine in 2009

NPI Data:

NPI Number: 1558596585
Provider Enumeration Date: 05/19/2009
Last Update Date: 12/17/2021

Medicare PECOS Information:

PECOS PAC ID: 1658599147
Enrollment ID: I20210203002407

Medical Identifiers

Medical identifiers for Dr Nicole Marie Bautista such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1558596585	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	125-055752 (Illinois)	Secondary
207RN0300X	Internal Medicine - Nephrology	01074301A (Indiana)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Rai Elk Grove Blvd.	Elk grove, CA	Dialysis facility
Calvine Home Training Center	Sacramento, CA	Dialysis facility
Kaiser Foundation Hosp So Sacramento	Sacramento, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Permanente Medical Group Inc	8921910225	8376

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. Dr Nicole Marie Bautista allows following entities to bill medicare on her behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

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 Nicole Marie 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
Dr Nicole Marie Bautista, MD 9201 Calumet Ave, Munster, IN 46321-2807 Ph: (219) 836-2022	Dr Nicole Marie Bautista, MD 606 Lincolnway, Valparaiso, IN 46383-5728 Ph: (219) 462-6001

Reviews and Comments

Internal Medicine Doctors in Valparaiso, IN

Dr. Mazen Zaitoon, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 85 East United States 6 Frontage, Valparaiso, IN 46383 Phone: 219-983-8300
Douglas Adolph Mazurek, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1101 Glendale Blvd, Suite 103, Valparaiso, IN 46383 Phone: 219-464-9054 Fax: 219-465-1749
Michael Christopher Hansen, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 85 E Us Highway 6, Valparaiso, IN 46383 Phone: 219-464-9054 Fax: 219-465-1749
John Dougherty, Nephrology Medicare: Medicare Enrolled Practice Location: 56 Willow St, Valparaiso, IN 46383 Phone: 219-309-7254
Dr. Akshay R. Trivedi, D.O. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 2206 Roosevelt Rd Ste A, Valparaiso, IN 46383 Phone: 219-464-2285
George E Sloan, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 2600 Roosevelt Rd, Valparaiso, IN 46383 Phone: 219-464-1620 Fax: 219-477-4565
Dr. Jay Shah, M.D Nephrology Medicare: Accepting Medicare Assignments Practice Location: 85 E Us Highway 6 Ste 300, Valparaiso, IN 46383 Phone: 219-983-6300 Fax: 219-263-7620

Dr Nicole Marie Bautista, MD - Medicare Internal Medicine in Valparaiso, IN