| Martin Bautista, MD | |
|
350 Ne 12th St, Guymon, OK 73942-3624 | |
| (580) 338-8700 | |
| (580) 338-8600 |
| Full Name | Martin Bautista |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 36 Years |
| Location | 350 Ne 12th St, Guymon, Oklahoma |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144249327 | NPI | - | NPPES |
| 100025580A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 19756 (Oklahoma) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Health Watch Health Care Of Guymon, Llc | Guymon, OK | Home health agency |
| Memorial Hospital Of Texas County Authority | Guymon, OK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Specialty Clinics Of St Anne Pllc | 8022028273 | 2 |
| Entity Name | Specialty Clinics Of St Anne Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356360473 PECOS PAC ID: 8022028273 Enrollment ID: O20060502000699 |
| Mailing Address | Practice Location Address |
|---|---|
| Martin Bautista, MD 350 Ne 12th St, Guymon, OK 73942-3624 Ph: (580) 338-8700 | Martin Bautista, MD 350 Ne 12th St, Guymon, OK 73942-3624 Ph: (580) 338-8700 |
Sylvia Tan, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 350 Ne 12th St, Guymon, OK 73942 Phone: 580-338-8700 Fax: 580-338-8600 | |
Dr. Jeffrey J Lim, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 410 Ne 12th St, Guymon, OK 73942 Phone: 580-338-5500 Fax: 580-468-4942 |