| Dr Lina Judith Bautista, MD | |
| 
					2800 Providence Dr, Anchorage, AK 99508-4623  | |
| (907) 269-7152 | |
| (907) 269-7251 | 
| Full Name | Dr Lina Judith Bautista | 
|---|---|
| Gender | Female | 
| Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry | 
| Location | 2800 Providence Dr, Anchorage, Alaska | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1982625596 | NPI | - | NPPES | 
| MD02182 | Medicaid | AK | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | 2785 (Alaska) | Primary | 
| Entity Name | Providence Health & Services Washington | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1467547265 PECOS PAC ID: 2163335746 Enrollment ID: O20031110000525  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Lina Judith Bautista, MD 2800 Providence Dr, Anchorage, AK 99508-4623 Ph: (907) 269-7152  | Dr Lina Judith Bautista, MD 2800 Providence Dr, Anchorage, AK 99508-4623 Ph: (907) 269-7152  | 
Daniel Gregory Allen, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 673 Medical Group, Jb Elmendorf-richardson, Anchorage, AK 99506 Phone: 907-580-2181  | |
Dr. Sheila Joyce Clark, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 207 E Northern Lights Blvd, Ste 111, Anchorage, AK 99503 Phone: 907-272-1892 Fax: 907-272-0962  | |
Dr. David Michael Henzler, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1100 E Dimond Blvd, Anchorage, AK 99515 Phone: 907-565-6000 Fax: 907-565-6001  | |
Maria Zarif, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 4320 Diplomacy Dr Ste 1500, Anchorage, AK 99508 Phone: 907-729-2500  | |
Dr. Karen Jackman, M.D Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1675 C St, Suite 117, Anchorage, AK 99501 Phone: 907-274-8281 Fax: 907-274-4055  | |
Dr. William Allen Worrall, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 2800 Providence Dr, Anchorage, AK 99508 Phone: 907-269-7176 Fax: 907-269-7251  | |
Dr. Lisa Katharyn Lindquist, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 3760 Piper St Ste 1108, Anchorage, AK 99508 Phone: 907-212-6900 Fax: 907-212-6936  |