Dr Vivencio Paclibar Baitan, MD is a
Surgery physician based in Macclenny, Florida. Dr Vivencio Paclibar Baitan is licensed to practice in Florida (license number LL549) and his current practice location is 7487 S State Road 121, Macclenny, Florida. He can be reached at his office (for appointments etc.) via phone at
(904) 259-6211.
NPI number for Dr Vivencio Paclibar Baitan is 1619145372 and his current mailing address is 7487 S State Road 121, Macclenny, Florida. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1619145372.
Physician's Profile
| Full Name | Dr Vivencio Paclibar Baitan |
|---|
| Gender | Male |
|---|
| Speciality | Surgery |
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| Location | 7487 S State Road 121, Macclenny, Florida |
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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: 1619145372
- Provider Enumeration Date: 02/15/2008
- Last Update Date: 02/15/2008
Medical Identifiers
Medical identifiers for Dr Vivencio Paclibar Baitan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1619145372 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208600000X | Surgery | LL549 (Florida) | 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 Vivencio Paclibar Baitan 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 Vivencio Paclibar Baitan, MD
7487 S State Road 121,
Macclenny, FL 32063-5451
Ph: (904) 259-6211 | Dr Vivencio Paclibar Baitan, MD
7487 S State Road 121,
Macclenny, FL 32063-5451
Ph: (904) 259-6211 |
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