Manuel M Bautista, MD in Boardman, OH - Medicare Pulmonary Disease

Manuel M Bautista, MD is a medicare enrolled "Internal Medicine - Pulmonary Disease" physician in Boardman, Ohio. He graduated from medical school in 1993 and has 33 years of diverse experience with area of expertise as Pulmonary Disease. He is a member of the group practice Northern Ohio Medical Specialists, Llc, Triad Health Services Llc and his current practice location is 960 Windham Ct, Suite 1, Boardman, Ohio. You can reach out to his office (for appointments etc.) via phone at (330) 726-3357.

Manuel M Bautista is licensed to practice in Ohio (license number 35089622) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1093793689.

Contact Information

	Manuel M Bautista, MD
	960 Windham Ct, Suite 1, Boardman, OH 44512-5087
	(330) 726-3357
	(330) 726-1465

Map and Direction

Physician's Profile

Full Name	Manuel M Bautista
Gender	Male
Speciality	Pulmonary Disease
Experience	33 Years
Location	960 Windham Ct, Boardman, Ohio
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Manuel M Bautista graduated from medical school in 1993

NPI Data:

NPI Number: 1093793689
Provider Enumeration Date: 01/04/2006
Last Update Date: 11/12/2025

Medicare PECOS Information:

PECOS PAC ID: 3173500642
Enrollment ID: I20070814000181

Medical Identifiers

Medical identifiers for Manuel M Bautista such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093793689	NPI	-	NPPES
2475585	Medicaid	OH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RS0012X	Internal Medicine - Sleep Medicine	35089622 (Ohio)	Secondary
207RC0200X	Internal Medicine - Critical Care Medicine	35089622 (Ohio)	Secondary
207RP1001X	Internal Medicine - Pulmonary Disease	35089622 (Ohio)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Mh St Joseph Warren Hospital	Warren, OH	Hospital
Hmhp St Elizabeth Boardman Health Center	Boardman, OH	Hospital
St Elizabeth Youngstown Hospital	Youngstown, OH	Hospital
Surgical Hospital At Southwoods	Youngstown, OH	Hospital
Trumbull Regional Medical Center	Warren, OH	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Northern Ohio Medical Specialists, Llc	2769386192	276
Triad Health Services Llc	9032367917	226

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. Manuel M Bautista allows following entities to bill medicare on his behalf.

Entity Name	Northern Ohio Medical Specialists, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225085855 PECOS PAC ID: 2769386192 Enrollment ID: O20031126000214

Entity Name	Triad Health Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588925457 PECOS PAC ID: 9032367917 Enrollment ID: O20120918000787

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. Manuel M 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
Manuel M Bautista, MD 960 Windham Ct Ste 1, Boardman, OH 44512-5087 Ph: (330) 726-3357	Manuel M Bautista, MD 960 Windham Ct, Suite 1, Boardman, OH 44512-5087 Ph: (330) 726-3357

Reviews and Comments

Internal Medicine Doctors in Boardman, OH

Mrs. Jessica Harriman Austin, DO Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 8401 Market St, Boardman, OH 44512 Phone: 330-729-4298 Fax: 330-480-2926
Dr. Thomas Nicholas Detesco, M.D. Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 7341 Eisenhower Dr, Boardman, OH 44512 Phone: 330-726-1138 Fax: 330-726-6128
Dr. Thomas E Hunt, DO Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 7206 Market St Ste 100a, Boardman, OH 44512 Phone: 330-726-3379 Fax: 330-726-8683
Dr. Keith Layne Henson, DO Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 8401 Market Street, C/o Medical Staff Office, Boardman, OH 44512 Phone: 330-533-5699 Fax: 330-702-1144
Amer Aldamouk, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 8401 Market St, Boardman, OH 44512 Phone: 330-729-4298 Fax: 330-729-1897
Dr. Abhay Sharma, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 8401 Market St, Boardman, OH 44512 Phone: 330-729-4298 Fax: 330-729-1591

Manuel M Bautista, MD - Medicare Pulmonary Disease in Boardman, OH