Martin Bautista, MD is a medicare enrolled "Internal Medicine" physician in Guymon, Oklahoma. He graduated from medical school in 1989 and has 35 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Specialty Clinics Of St Anne Pllc and his current practice location is
350 Ne 12th St, Guymon, Oklahoma. You can reach out to his office (for appointments etc.) via phone at
(580) 338-8700.
Martin Bautista is licensed to practice in Oklahoma (license number 19756) 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 1144249327.
Physician's Profile
| Full Name | Martin Bautista |
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| Gender | Male |
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| Speciality | Internal Medicine |
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| Experience | 35 Years |
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| Location | 350 Ne 12th St, Guymon, Oklahoma |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Martin Bautista graduated from medical school in 1989
NPI Data:
- NPI Number: 1144249327
- Provider Enumeration Date: 07/19/2006
- Last Update Date: 06/13/2012
Medicare PECOS Information:
- PECOS PAC ID: 1759391915
- Enrollment ID: I20100902000478
Medical Identifiers
Medical identifiers for Martin Bautista such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1144249327 | NPI | - | NPPES |
| 100025580A | Medicaid | OK | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | 19756 (Oklahoma) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Specialty Clinics Of St Anne Pllc | 8022028273 | 3 |
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. Martin Bautista allows following entities to bill medicare on his behalf.
| Entity Name | Specialty Clinics Of St Anne Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1356360473
PECOS PAC ID: 8022028273
Enrollment ID: O20060502000699 |
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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. Martin 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 |
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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 |
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