Melanie Bautista, APRN, FNP-BC in Jacksonville, FL

Melanie Bautista, APRN, FNP-BC is a medicare enrolled "Nurse Practitioner" in Jacksonville, Florida. Her current practice location is 7011 A C Skinner Pkwy Ste 160, Jacksonville, Florida. You can reach out to her office (for appointments etc.) via phone at (904) 493-3333.

Melanie Bautista is licensed to practice in Florida (license number APRN11004757) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1831739887.

Contact Information

	Melanie Bautista, APRN, FNP-BC
	7011 A C Skinner Pkwy Ste 160, Jacksonville, FL 32256-6953
	(904) 493-3333
	(904) 493-2222

Map and Direction

Provider's Profile

Full Name	Melanie Bautista
Gender	Female
Speciality	Nurse Practitioner
Location	7011 A C Skinner Pkwy Ste 160, Jacksonville, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1831739887
Provider Enumeration Date: 01/07/2020
Last Update Date: 12/28/2020

Medicare PECOS Information:

PECOS PAC ID: 6608287958
Enrollment ID: I20201118001295

Medical Identifiers

Medical identifiers for Melanie Bautista such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1831739887	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	APRN11004757 (Florida)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Melanie Bautista allows following entities to bill medicare on her behalf.

Entity Name	Physical Healthcare Of Jacksonville Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760722011 PECOS PAC ID: 9234376690 Enrollment ID: O20130604000286

Entity Name	Baymeadows Injury & Wellness Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1528519287 PECOS PAC ID: 0941587380 Enrollment ID: O20200616002029

Entity Name	Mchugh Health And Wellness Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1104403542 PECOS PAC ID: 9830508464 Enrollment ID: O20210511001217

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. Melanie Bautista is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Melanie Bautista, APRN, FNP-BC 7011 A C Skinner Pkwy Ste 160, Jacksonville, FL 32256-6953 Ph: (904) 493-3333	Melanie Bautista, APRN, FNP-BC 7011 A C Skinner Pkwy Ste 160, Jacksonville, FL 32256-6953 Ph: (904) 493-3333

Reviews and Comments

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Melanie Bautista, APRN, FNP-BC - Medicare Nurse Practitioner in Jacksonville, FL