Primo V Bautista, MD is a
Pathology - Anatomic Pathology & Clinical Pathology physician based in Jeannette, Pennsylvania. Primo V Bautista is licensed to practice in Pennsylvania (license number MD019326E) and his current practice location is 600 Jefferson Ave, Jeannette, Pennsylvania. He can be reached at his office (for appointments etc.) via phone at
(724) 527-3551.
NPI number for Primo V Bautista is 1154316081 and his current mailing address is Po Box 157, Grapeville, Pennsylvania. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1154316081.
Physician's Profile
| Full Name | Primo V Bautista |
|---|
| Gender | Male |
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| Speciality | Pathology - Anatomic Pathology & Clinical Pathology |
|---|
| Location | 600 Jefferson Ave, Jeannette, Pennsylvania |
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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: 1154316081
- Provider Enumeration Date: 09/16/2005
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Primo V Bautista such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1154316081 | NPI | - | NPPES |
| 0009369890005 | Medicaid | PA | |
| 36621 | Other | PA | BS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | MD019326E (Pennsylvania) | 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. Primo V 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 |
|---|
Primo V Bautista, MD
Po Box 157,
Grapeville, PA 15634-0157
Ph: (724) 527-6517 | Primo V Bautista, MD
600 Jefferson Ave,
Jeannette, PA 15644-2505
Ph: (724) 527-3551 |
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