Allison Virginia Bautista, PNP is a medicare enrolled "Nurse Practitioner - Pediatrics" physician in Austin, Texas. Her current practice location is
9835 N Lake Creek Pkwy, Austin, Texas. You can reach out to her office (for appointments etc.) via phone at
(737) 229-2000.
Allison Virginia Bautista is licensed to practice in Texas (license number AP136650) 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 1134638232.
Physician's Profile
Full Name | Allison Virginia Bautista |
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Gender | Female |
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Speciality | Nurse Practitioner - Pediatrics |
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Location | 9835 N Lake Creek Pkwy, Austin, Texas |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1134638232
- Provider Enumeration Date: 09/21/2017
- Last Update Date: 08/26/2025
Medicare PECOS Information:
- PECOS PAC ID: 5890030035
- Enrollment ID: I20181217002723
Medical Identifiers
Medical identifiers for Allison Virginia Bautista such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1134638232 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | AP136650 (Texas) | Secondary |
363LP0200X | Nurse Practitioner - Pediatrics | AP136650 (Texas) | 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. Allison Virginia Bautista allows following entities to bill medicare on her behalf.
Entity Name | Dell Childrens Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1326072943 PECOS PAC ID: 8224092978 Enrollment ID: O20041112001030 |
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Entity Name | Texas Childrens Physician Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1861675506 PECOS PAC ID: 4385722081 Enrollment ID: O20080422000209 |
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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. Allison Virginia 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 |
Allison Virginia Bautista, PNP 5113 Winsbury Dr, Georgetown, TX 78626-7733 Ph: (512) 987-4135 | Allison Virginia Bautista, PNP 9835 N Lake Creek Pkwy, Austin, TX 78717-6210 Ph: (737) 229-2000 |
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