Dr Jill M Bakota Gutierrez, OD is a
Optometrist based in Fort Moore, Georgia. Dr Jill M Bakota Gutierrez is licensed to practice in Georgia (license number OPT002625) and her current practice location is
Martin Army Community Hospital, 6600 Van Aalst Blvd, Bldg 9250, Fort Moore, Georgia. She can be reached at her office (for appointments etc.) via phone at
(762) 408-3498.
NPI number for Dr Jill M Bakota Gutierrez is 1932412871 and her current mailing address is Martin Army Community Hospital, 6600 Van Aalst Blvd, Bldg 9250, Ft Moore, Georgia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1932412871.
Healthcare Provider's Profile
Full Name | Dr Jill M Bakota Gutierrez |
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Gender | Female |
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Speciality | Optometrist |
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Location | Martin Army Community Hospital, Fort Moore, Georgia |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1932412871
- Provider Enumeration Date: 07/21/2010
- Last Update Date: 03/11/2024
Medical Identifiers
Medical identifiers for Dr Jill M Bakota Gutierrez such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1932412871 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
152W00000X | Optometrist | 8634 TG (Texas) | Secondary |
152W00000X | Optometrist | OPT002625 (Georgia) | Primary |
152W00000X | Optometrist | 0002964 (Colorado) | Secondary |
152W00000X | Optometrist | 046010341 (Illinois) | Secondary |
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 Jill M Bakota Gutierrez 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 Jill M Bakota Gutierrez, OD Martin Army Community Hospital, 6600 Van Aalst Blvd, Bldg 9250, Ft Moore, GA 31905 Ph: () - | Dr Jill M Bakota Gutierrez, OD Martin Army Community Hospital, 6600 Van Aalst Blvd, Bldg 9250, Fort Moore, GA 31905 Ph: (762) 408-3498 |
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