Marciano David Bautista, DO is a
Family Medicine physician based in Glennallen, Alaska. Marciano David Bautista is licensed to practice in Alaska (license number 4535) and his current practice location is Mile 187.5 Glenn Hwy, Glennallen, Alaska. He can be reached at his office (for appointments etc.) via phone at
(907) 822-3203.
NPI number for Marciano David Bautista is 1114078995 and his current mailing address is Po Box 5, Mile 187.5 Glenn Hwy, Glennallen, Alaska. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1114078995.
Physician's Profile
| Full Name | Marciano David Bautista |
|---|
| Gender | Male |
|---|
| Speciality | Family Medicine |
|---|
| Location | Mile 187.5 Glenn Hwy, Glennallen, Alaska |
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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: 1114078995
- Provider Enumeration Date: 01/16/2007
- Last Update Date: 03/31/2009
Medical Identifiers
Medical identifiers for Marciano David Bautista such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1114078995 | NPI | - | NPPES |
| P00673381 | Other | AK | MEDICARE RAILROAD PTAN |
| 1114078995 | Other | AK | NPI |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 35579 (Colorado) | Secondary |
| 207Q00000X | Family Medicine | 4535 (Alaska) | Primary |
| 207Q00000X | Family Medicine | 5101013320 (Michigan) | Secondary |
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. Marciano David Bautista 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 |
|---|
Marciano David Bautista, DO
Po Box 5, Mile 187.5 Glenn Hwy,
Glennallen, AK 99588-0589
Ph: (907) 822-3203 | Marciano David Bautista, DO
Mile 187.5 Glenn Hwy,
Glennallen, AK 99588-0589
Ph: (907) 822-3203 |
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