Dr Renali Amparo C Agbayani-bautista, MD is a
Pediatrics physician based in St. Marys, Georgia. Dr Renali Amparo C Agbayani-bautista is licensed to practice in Georgia (license number 056675) and her current practice location is 2040 Dan Proctor Dr., Suite 140, St. Marys, Georgia. She can be reached at her office (for appointments etc.) via phone at
(912) 673-8000.
NPI number for Dr Renali Amparo C Agbayani-bautista is 1336113299 and her current mailing address is 2040 Dan Proctor Dr., Suite 140, St. Marys, Georgia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1336113299.
Physician's Profile
Full Name | Dr Renali Amparo C Agbayani-bautista |
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Gender | Female |
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Speciality | Pediatrics |
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Location | 2040 Dan Proctor Dr., St. Marys, Georgia |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1336113299
- Provider Enumeration Date: 02/15/2006
- Last Update Date: 09/18/2023
Medical Identifiers
Medical identifiers for Dr Renali Amparo C Agbayani-bautista such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1336113299 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | 056675 (Georgia) | 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. Dr Renali Amparo C Agbayani-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 |
Dr Renali Amparo C Agbayani-bautista, MD 2040 Dan Proctor Dr., Suite 140, St. Marys, GA 31558 Ph: (912) 673-8000 | Dr Renali Amparo C Agbayani-bautista, MD 2040 Dan Proctor Dr., Suite 140, St. Marys, GA 31558 Ph: (912) 673-8000 |
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