Dr Katherine Marjorie Stout-bautista, OD - Medicare Optometrist in San Rafael, CA

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Dr Katherine Marjorie Stout-bautista, OD is a medicare enrolled "Optometrist" provider in San Rafael, California. Her current practice location is 1033 3rd St, San Rafael, California. You can reach out to her office (for appointments etc.) via phone at (415) 482-6826.

Dr Katherine Marjorie Stout-bautista is licensed to practice in California (license number OPT-12944-T) 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 1326133976.

Contact Information

Dr Katherine Marjorie Stout-bautista, OD
1033 3rd St,
San Rafael, CA 94901-3107
(415) 482-6826
(415) 482-6726

Map and Direction




Healthcare Provider's Profile

Full NameDr Katherine Marjorie Stout-bautista
GenderFemale
SpecialityOptometrist
Location1033 3rd St, San Rafael, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1326133976
  • Provider Enumeration Date: 10/03/2006
  • Last Update Date: 01/11/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 3577643634
  • Enrollment ID: I20080102000636

Medical Identifiers

Medical identifiers for Dr Katherine Marjorie Stout-bautista such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1326133976NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist OPT-12944-T (California)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. Dr Katherine Marjorie Stout-bautista allows following entities to bill medicare on her behalf.
Provider NamePermanente Medical Group Inc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1073606299
PECOS PAC ID: 8921910225
Enrollment ID: O20031104000710

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. Dr Katherine Marjorie Stout-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 AddressPractice Location Address
Dr Katherine Marjorie Stout-bautista, OD
1033 3rd St,
San Rafael, CA 94901-3107

Ph: (415) 482-6826		Dr Katherine Marjorie Stout-bautista, OD
1033 3rd St,
San Rafael, CA 94901-3107

Ph: (415) 482-6826

Reviews and Comments


Optometrist in San Rafael, CA

Christine Yim, O.D.
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Practice Location: 4000 Civic Center Dr Ste 200a, San Rafael, CA 94903
Phone: 415-519-6582    
Dr. Ronald Santiago Garcia, O.D.
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Practice Location: 1436 4th St, San Rafael, CA 94901
Phone: 415-454-0354    Fax: 415-454-0497
Dr. Crizelda Lauron, O.D.
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Medicare: Accepting Medicare Assignments
Practice Location: 4000 Civic Center Dr, Suite 200a, San Rafael, CA 94903
Phone: 415-444-0300    
Sabrina N Stilwell, O.D.
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Medicare: Accepting Medicare Assignments
Practice Location: 1033 3rd St, San Rafael, CA 94901
Phone: 415-482-6826    
Robert B Levine, OD
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Medicare: Accepting Medicare Assignments
Practice Location: 1001 Grand Avenue, San Rafael, CA 94901
Phone: 415-453-3812    Fax: 415-453-6712
Leung Optometric Corporation
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Medicare: Not Enrolled in Medicare
Practice Location: 9000 Northgate Mall, San Rafael, CA 94903
Phone: 415-507-2364    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.