| Jessica Montalban Bautista, DO, MS | |
|
19641 E Parker Square Dr Ste A, Parker, CO 80134-7397 | |
| (303) 840-3800 | |
| (303) 840-8442 |
| Full Name | Jessica Montalban Bautista |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 19641 E Parker Square Dr Ste A, Parker, Colorado |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629655006 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | DR.0069284 (Colorado) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| Entity Name | Portercare Adventist Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760761928 PECOS PAC ID: 0941110886 Enrollment ID: O20090115000327 |
| Mailing Address | Practice Location Address |
|---|---|
| Jessica Montalban Bautista, DO, MS 19641 E Parker Square Dr Ste A, Parker, CO 80134-7397 Ph: (303) 840-3800 | Jessica Montalban Bautista, DO, MS 19641 E Parker Square Dr Ste A, Parker, CO 80134-7397 Ph: (303) 840-3800 |
Dr. Miles Philip Viseur, Family Medicine Medicare: Medicare Enrolled Practice Location: 10168 Parkglenn Way, Parker, CO 80138 Phone: 303-338-4545 | |
Ian Sebastian Bach, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 19964 Hilltop Rd Ste A, Parker, CO 80134 Phone: 303-841-2212 Fax: 303-841-4716 | |
Julian T Hsu, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10168 Parkglenn Way, Parker, CO 80138 Phone: 303-338-3800 | |
Dr. Pavitra Rajendrabhai Patel, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 12230 Lioness Way, Parker, CO 80134 Phone: 720-644-9355 | |
Dr. Kenneth A. Ramey, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8401 S Chambers Rd, Parker, CO 80134 Phone: 720-874-2421 Fax: 720-875-2859 | |
Dr. Clark Benjamin Zimmerman Iii, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 7973 Stroh Rd, Parker, CO 80134 Phone: 303-841-3756 | |
Dr. Alice Zhang, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 16990 Village Center Dr E, Parker, CO 80134 Phone: 720-516-9191 Fax: 720-516-9192 |