Emmanuel Estavillo Bautista, MD - Family Medicine in Bridgeport, CT

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Emmanuel Estavillo Bautista, MD is a Family Medicine physician based in Bridgeport, Connecticut. Emmanuel Estavillo Bautista is licensed to practice in Connecticut (license number 025021) and his current practice location is Southwest Ct Mental Health System Attn Sandra Grazynski, 1635 Central Avenue Room 213, Bridgeport, Connecticut. He can be reached at his office (for appointments etc.) via phone at (203) 551-7660.

NPI number for Emmanuel Estavillo Bautista is 1902965106 and his current mailing address is Southwest Ct Mental Health System Attn Sandra Grazynsk, 1635 Central Avenue Room 213, Bridgeport, Connecticut. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1902965106.

Contact Information

Emmanuel Estavillo Bautista, MD
Southwest Ct Mental Health System Attn Sandra Grazynski, 1635 Central Avenue Room 213,
Bridgeport, CT 06610
(203) 551-7660
(203) 551-7481

Map and Direction




Physician's Profile

Full NameEmmanuel Estavillo Bautista
GenderMale
SpecialityFamily Medicine
LocationSouthwest Ct Mental Health System Attn Sandra Grazynski, Bridgeport, Connecticut
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1902965106
  • Provider Enumeration Date: 12/06/2006
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Emmanuel Estavillo Bautista such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1902965106NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 025021 (Connecticut)Primary

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. Emmanuel Estavillo Bautista is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Emmanuel Estavillo Bautista, MD
Southwest Ct Mental Health System Attn Sandra Grazynsk, 1635 Central Avenue Room 213,
Bridgeport, CT 06610

Ph: (203) 551-7660		Emmanuel Estavillo Bautista, MD
Southwest Ct Mental Health System Attn Sandra Grazynski, 1635 Central Avenue Room 213,
Bridgeport, CT 06610

Ph: (203) 551-7660

Reviews and Comments


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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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