Micah S Bautista, RDN in Modesto, CA - Medicare Dietitian, Registered Provider

Micah S Bautista, RDN is a medicare enrolled "Dietitian, Registered" provider in Modesto, California. Her current practice location is 600 Coffee Rd, Modesto, California. You can reach out to her office (for appointments etc.) via phone at (209) 550-4747.

Micah S Bautista is licensed to practice in California (license number 86289720) 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 1164175063.

Contact Information

	Micah S Bautista, RDN
	600 Coffee Rd, Modesto, CA 95355-4201
	(209) 550-4747
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Micah S Bautista
Gender	Female
Speciality	Dietitian, Registered
Location	600 Coffee Rd, Modesto, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1164175063
Provider Enumeration Date: 01/31/2022
Last Update Date: 02/07/2023

Medicare PECOS Information:

PECOS PAC ID: 9931579539
Enrollment ID: I20221222001734

Medical Identifiers

Medical identifiers for Micah S Bautista such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164175063	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	86289720 (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. Micah S Bautista allows following entities to bill medicare on her behalf.

Provider Name	Sutter Valley Medical Foundation
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1669846986 PECOS PAC ID: 9830094515 Enrollment ID: O20090311000335

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. Micah S 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
Micah S Bautista, RDN 4601 Dale Rd, Modesto, CA 95356-9718 Ph: (209) 735-5000	Micah S Bautista, RDN 600 Coffee Rd, Modesto, CA 95355-4201 Ph: (209) 550-4747

Reviews and Comments

Dietitian, Registered in Modesto, CA

Be Food Wise Dietitian Medicare: Not Enrolled in Medicare Practice Location: 931 10th St Ste 771, Modesto, CA 95354 Phone: 209-771-4717
Beth Goodridge, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 931 10th St Ste 771, Modesto, CA 95354 Phone: 209-771-4717
Mireille Salib, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4601 Dale Rd, Modesto, CA 95356 Phone: 209-735-5000
Lauren Renee Pavlov, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1441 Florida Ave, Modesto, CA 95350 Phone: 209-578-1211
Amanda Johnson, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4601 Dale Rd, Modesto, CA 95356 Phone: 209-735-5086
Megan Mirza, RD Dietitian Medicare: Medicare Enrolled Practice Location: 600 Coffee Rd, Modesto, CA 95355 Phone: 209-550-4747

Micah S Bautista, RDN - Medicare Dietitian in Modesto, CA