| Dr Fidel Dale Mendres Bautista, MD | |
|
915 Lawn Ave, Sellersville, PA 18960-1551 | |
| (215) 257-3700 | |
| Not Available |
| Full Name | Dr Fidel Dale Mendres Bautista |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 23 Years |
| Location | 915 Lawn Ave, Sellersville, Pennsylvania |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114112067 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD435036 (Pennsylvania) | Secondary |
| 207QS0010X | Family Medicine - Sports Medicine | MD435036 (Pennsylvania) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Luke's Home Health | Bethlehem, PA | Home health agency |
| Grand View Hospital | Sellersville, PA | Hospital |
| St Lukes Quakertown Hospital | Quakertown, PA | Hospital |
| St Luke's Hospital Bethlehem | Bethlehem, PA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St Lukes Physician Group Inc | 6709798333 | 2160 |
| Grand View Urgent Care, Llc. | 8820370661 | 8 |
| Phoenix Rehabilitation And Health Services Inc | 3476464298 | 2687 |
| Novacare Outpatient Rehabilitation East, Inc. | 3678480290 | 518 |
| Grand View Hospital | 8022001924 | 121 |
| Entity Name | Grand View Urgent Care, Llc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801341862 PECOS PAC ID: 8820370661 Enrollment ID: O20170131001070 |
| Entity Name | Grand View Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477037877 PECOS PAC ID: 8022001924 Enrollment ID: O20190103000983 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Fidel Dale Mendres Bautista, MD 915 Lawn Ave, Sellersville, PA 18960-1551 Ph: (215) 257-3700 | Dr Fidel Dale Mendres Bautista, MD 915 Lawn Ave, Sellersville, PA 18960-1551 Ph: (215) 257-3700 |
Dr. Dawn'c Wilkes, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 915 Lawn Ave, Suite 201, Sellersville, PA 18960 Phone: 215-453-3360 Fax: 215-453-3366 | |
Dr. Ilana Zeises, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 915 Lawn Ave, Sellersville, PA 18960 Phone: 215-257-3700 Fax: 215-257-0360 | |
Dr. H Jeffrey Wilkins, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 106 Brinkley Dr, Sellersville, PA 18960 Phone: 610-457-5095 Fax: 610-640-2945 | |
Dr. Beloo Mirakhur, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 700 Lawn Ave, Sellersville, PA 18960 Phone: 215-453-4000 | |
Christina Bartoni, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 807 Lawn Ave, Sellersville, PA 18960 Phone: 833-506-2769 |