| Dr Odezza Agustin Bautista, MD | |
|
50 Beech Dr, Norristown, PA 19403-5421 | |
| (610) 279-6100 | |
| Not Available |
| Full Name | Dr Odezza Agustin Bautista |
|---|---|
| Gender | Female |
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 50 Beech Dr, Norristown, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346455763 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | MD432919 (Pennsylvania) | Primary |
| Entity Name | Pennsylvania Department Of Human Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447233317 PECOS PAC ID: 0547168064 Enrollment ID: O20040527000932 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Odezza Agustin Bautista, MD 50 Beech Dr, Norristown, PA 19403-5421 Ph: (610) 279-6100 | Dr Odezza Agustin Bautista, MD 50 Beech Dr, Norristown, PA 19403-5421 Ph: (610) 279-6100 |
Dr. Paul P Yeung, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 50 Beech Dr, Norristown, PA 19403 Phone: 610-279-6100 Fax: 610-279-0978 | |
Dr. Hansa K. Shah, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1001 Sterigere St, Norristown State Hospital, Norristown, PA 19401 Phone: 610-313-5989 Fax: 610-313-1013 | |
Mahmood Dadvand, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1201 Dekalb St, Norristown, PA 19401 Phone: 610-279-9270 | |
Onyekachi Joseph Oyiriaru, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1201 Dekalb St, Norristown, PA 19401 Phone: 610-277-7600 Fax: 610-275-0216 | |
Dr. Cherian Verghese, M.D Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1401 Dekalb St, Suite 201, Norristown, PA 19401 Phone: 610-277-8073 Fax: 610-277-8046 | |
Dr. Yogesh Maru, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1100 Powell St, Norristown, PA 19401 Phone: 610-277-4600 Fax: 610-277-4651 | |
Violet A Henighan, DO Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 50 Beech Dr, Norristown, PA 19403 Phone: 610-279-6100 Fax: 610-279-0978 |