Marieta P Bautista, MD | |
35 W Huron St, Pontiac, MI 48342-2120 | |
(248) 745-4900 | |
(248) 745-6872 |
Full Name | Marieta P Bautista |
---|---|
Gender | Female |
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 35 W Huron St, Pontiac, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497795298 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 4301040328 (Michigan) | Primary |
Entity Name | County Of Macomb |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942532197 PECOS PAC ID: 4880581404 Enrollment ID: O20040301000018 |
Entity Name | Seniors Wellness Group Of Michigan Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801848718 PECOS PAC ID: 7012950462 Enrollment ID: O20050607000150 |
Entity Name | Seniors Wellness Group, P.c. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568419240 PECOS PAC ID: 1951202357 Enrollment ID: O20080725000368 |
Mailing Address | Practice Location Address |
---|---|
Marieta P Bautista, MD 35 W Huron St, Pontiac, MI 48342-2120 Ph: (248) 745-4900 | Marieta P Bautista, MD 35 W Huron St, Pontiac, MI 48342-2120 Ph: (248) 745-4900 |
Dr. Shahid Jamil, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 44555 Woodward Ave, Ste 405, Pontiac, MI 48341 Phone: 248-333-7100 Fax: 248-858-7224 | |
Prasanth Talluri, Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 461 W Huron St, Pontiac, MI 48341 Phone: 248-857-6700 | |
Lalitha Vemuri, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 28 W Lawrence St, Pontiac, MI 48342 Phone: 248-858-5326 | |
Maria Gisela Gallardo, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: Oakland Family Services, 114 Orchard Lake Road, Pontiac, MI 48341 Phone: 248-858-7766 | |
Naushad Makbulbhai Mansuri, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 461 W Huron St, Pontiac, MI 48341 Phone: 248-857-7200 | |
Rao Vallabhaneni, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 35 W Huron St, Pontiac, MI 48342 Phone: 248-745-4900 Fax: 248-745-6872 | |
Dr. Oleksiy Levantsevych, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 461 W Huron St, Pontiac, MI 48341 Phone: 248-857-7200 |