Dr Philippe B Bautista, DMD in Jeffersonville, IN

Dr Philippe B Bautista, DMD is a medicare enrolled "Dentist - Pediatric Dentistry" provider in Jeffersonville, Indiana. His current practice location is 434 Patrol Rd Unit 210, Jeffersonville, Indiana. You can reach out to his office (for appointments etc.) via phone at (812) 582-7255.

Dr Philippe B Bautista is licensed to practice in Indiana (license number 12010902A) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1053423301.

Contact Information

	Dr Philippe B Bautista, DMD
	434 Patrol Rd Unit 210, Jeffersonville, IN 47130-7718
	(812) 582-7255
	(812) 975-7255

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Philippe B Bautista
Gender	Male
Speciality	Dentist - Pediatric Dentistry
Location	434 Patrol Rd Unit 210, Jeffersonville, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1053423301
Provider Enumeration Date: 08/31/2006
Last Update Date: 12/06/2023

Medicare PECOS Information:

PECOS PAC ID: 6204281348
Enrollment ID: I20231010003425

Medical Identifiers

Medical identifiers for Dr Philippe B Bautista such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053423301	NPI	-	NPPES
60002904	Medicaid	KY
9177122	Other	KY	DORAL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223P0221X	Dentist - Pediatric Dentistry	12010902A (Indiana)	Primary
1223P0221X	Dentist - Pediatric Dentistry	7875 (Kentucky)	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 Philippe B 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
Dr Philippe B Bautista, DMD 434 Patrol Rd Unit 210, Jeffersonville, IN 47130-7718 Ph: (812) 582-7255	Dr Philippe B Bautista, DMD 434 Patrol Rd Unit 210, Jeffersonville, IN 47130-7718 Ph: (812) 582-7255

Reviews and Comments

Dentist in Jeffersonville, IN

Dr. Tyler Low, DMD Dentist Medicare: Medicare Enrolled Practice Location: 2917 E 10th St, Jeffersonville, IN 47130 Phone: 812-288-1000
Dr. Eric Thornton, DMD Dentist Medicare: Medicare Enrolled Practice Location: 2948 E 10th St Ste A, Jeffersonville, IN 47130 Phone: 812-288-9300
Eom Ji Lee, DMD Dentist Medicare: Medicare Enrolled Practice Location: 2760 Jefferson Centre Way Ste 2, Jeffersonville, IN 47130 Phone: 812-284-2206 Fax: 812-284-2216
Dr. Joseph W. Jacobi, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1706 Williamsburg Dr, Jeffersonville, IN 47130 Phone: 812-283-5550 Fax: 812-280-0332
Dr. Deborah Ann Shoemaker, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 2310 Allison Ln, Jeffersonville, IN 47130 Phone: 812-288-7135
Deborah Topp Rodighiero, Dentist Medicare: Not Enrolled in Medicare Practice Location: 1410 Spring St, Jeffersonville, IN 47130 Phone: 812-285-1006 Fax: 812-285-1132

Dr Philippe B Bautista, DMD - Medicare Dentist in Jeffersonville, IN