Joel O Bautista, MD | |
151 Victoria Commons Blvd, Suite 105, Deland, FL 32724-7700 | |
(386) 943-7175 | |
(386) 734-8825 |
Full Name | Joel O Bautista |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 36 Years |
Location | 151 Victoria Commons Blvd, Deland, Florida |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700878253 | NPI | - | NPPES |
203716105 | Medicaid | MO | |
29232 | Other | MO | ANTHEM BC/BS |
020019367 | Other | MO | TRAVELERS MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | ME 102468 (Florida) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Halifax Health /uf Health Medical Center Of Delton | Deltona, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Florida Clinical Practice Association Inc | 0345146254 | 1622 |
Entity Name | Florida Clinical Practice Association Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063463768 PECOS PAC ID: 0345146254 Enrollment ID: O20031211000099 |
Mailing Address | Practice Location Address |
---|---|
Joel O Bautista, MD 151 Victoria Commons Blvd, Suite 105, Deland, FL 32724-7700 Ph: (386) 943-7175 | Joel O Bautista, MD 151 Victoria Commons Blvd, Suite 105, Deland, FL 32724-7700 Ph: (386) 943-7175 |
Edwin Cheung, MD Surgery Medicare: Medicare Enrolled Practice Location: 999 N Stone St Ste B, Deland, FL 32720 Phone: 386-943-3018 | |
Dr. Min Li Xu, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 999 N Stone St, Deland, FL 32720 Phone: 386-943-3018 | |
Dr. Thomas Marc Corbyons, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 685 Peachwood Drive, Deland, FL 32720 Phone: 386-738-5300 Fax: 386-738-9537 | |
Frank O Velez, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1070 N Stone St Ste E, Deland, FL 32720 Phone: 386-738-5300 | |
Dr. Michael Jos Donohoe, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 685 Peachwood Drive, Deland, FL 32720 Phone: 386-738-5300 Fax: 386-738-9537 | |
Joseph Alexander Halinski, MD, MS. Surgery Medicare: Medicare Enrolled Practice Location: 2370 E International Speedway Blvd, Deland, FL 32724 Phone: 386-736-1105 |