Mr Jorge O Bautista, PA is a medicare enrolled "Physician Assistant" physician in Fillmore, California. He graduated from medical school in 1998 and has 26 years of diverse experience with area of expertise as Physician Assistant. His current practice location is
427 Central Ave, Fillmore, California. You can reach out to his office (for appointments etc.) via phone at
(805) 524-2559.
Mr Jorge O Bautista is licensed to practice in California (license number PA15385) and he also participates in the medicare program. He
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1336254705.
Physician's Profile
| Full Name | Mr Jorge O Bautista |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 26 Years |
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| Location | 427 Central Ave, Fillmore, California |
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| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mr Jorge O Bautista graduated from medical school in 1998
NPI Data:
- NPI Number: 1336254705
- Provider Enumeration Date: 08/19/2006
- Last Update Date: 03/01/2024
Medicare PECOS Information:
- PECOS PAC ID: 8224083423
- Enrollment ID: I20080227000569
Medical Identifiers
Medical identifiers for Mr Jorge O Bautista such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1336254705 | NPI | - | NPPES |
| GR0063042 | Medicaid | CA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | PA15385 (California) | Secondary |
| 363A00000X | Physician Assistant | PA15385 (California) | 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. Mr Jorge O 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 |
|---|
Mr Jorge O Bautista, PA
427 Central Ave,
Fillmore, CA 93015-1329
Ph: (805) 524-2559 | Mr Jorge O Bautista, PA
427 Central Ave,
Fillmore, CA 93015-1329
Ph: (805) 524-2559 |
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