Mrs Kathleen Jo Bautista, CRNP in Cambridge, MD

Mrs Kathleen Jo Bautista, CRNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Cambridge, Maryland. Her current practice location is 813-1 Chesapeake Drive, Cambridge, Maryland. You can reach out to her office (for appointments etc.) via phone at (410) 221-2266.

Mrs Kathleen Jo Bautista is licensed to practice in Maryland (license number R069915) 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 1558483867.

Contact Information

	Mrs Kathleen Jo Bautista, CRNP
	813-1 Chesapeake Drive, Cambridge, MD 21613-9401
	(410) 221-2266
	(410) 221-2878

Map and Direction

Provider's Profile

Full Name	Mrs Kathleen Jo Bautista
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	813-1 Chesapeake Drive, Cambridge, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1558483867
Provider Enumeration Date: 04/06/2007
Last Update Date: 05/24/2012

Medicare PECOS Information:

PECOS PAC ID: 2163680133
Enrollment ID: I20150402001653

Medical Identifiers

Medical identifiers for Mrs Kathleen Jo Bautista such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1558483867	NPI	-	NPPES
499188	Other	MD	VO-MHA
609550002	Medicaid	MD
609550004	Medicaid	MD
479302100	Medicaid	MD
609550001	Medicaid	MD

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	R069915 (Maryland)	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. Mrs Kathleen Jo Bautista allows following entities to bill medicare on her behalf.

Entity Name	Adventist Physician Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376623207 PECOS PAC ID: 4284631540 Enrollment ID: O20061030000122

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. Mrs Kathleen Jo 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
Mrs Kathleen Jo Bautista, CRNP 813-1 Chesapeake Drive, Cambridge, MD 21613-9401 Ph: (410) 221-2266	Mrs Kathleen Jo Bautista, CRNP 813-1 Chesapeake Drive, Cambridge, MD 21613-9401 Ph: (410) 221-2266

Reviews and Comments

Nurse Practitioner Nurses in Cambridge, MD

Brittany Gowe, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 713 Cambridge Marketplace Blvd Ste 2-900c, Cambridge, MD 21613 Phone: 443-225-7512
Mrs. Jovonne Chandler Osborne, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 503 Muir St Ste A, Cambridge, MD 21613 Phone: 410-228-4045 Fax: 833-908-2286
Mrs. Sandra Kelley Wieland, CRNP-PMH Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 813 Chesapeake Dr Ste 1, Cambridge, MD 21613 Phone: 410-221-2266 Fax: 410-221-2878
Chelcie Lecompte, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 618 Sunburst Hwy, Cambridge, MD 21613 Phone: 667-327-0228 Fax: 410-822-9513
Yeyin Chen, DNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 503 Byrn St, Cambridge, MD 21613 Phone: 410-221-7770 Fax: 410-221-7863
Lisa Marshall, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Bramble St, Cambridge, MD 21613 Phone: 410-228-4616
Mr. Stephen C Andrews, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 300 Byrn St, Cambridge, MD 21613 Phone: 410-228-5511 Fax: 410-228-1061

Mrs Kathleen Jo Bautista, CRNP - Medicare Nurse Practitioner in Cambridge, MD