Rogelio L Bautista, MD is a
Surgery physician based in Macon, Missouri. Rogelio L Bautista is licensed to practice in Missouri (license number 33051) and his current practice location is 1201 N Rutherford St, Macon, Missouri. He can be reached at his office (for appointments etc.) via phone at
(660) 385-8900.
NPI number for Rogelio L Bautista is 1164414660 and his current mailing address is 1201 N Rutherford St, Macon, Missouri. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1164414660.
Physician's Profile
| Full Name | Rogelio L Bautista |
|---|
| Gender | Male |
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| Speciality | Surgery |
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| Location | 1201 N Rutherford St, Macon, Missouri |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1164414660
- Provider Enumeration Date: 08/19/2005
- Last Update Date: 09/24/2012
Medical Identifiers
Medical identifiers for Rogelio L Bautista such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1164414660 | NPI | - | NPPES |
| 200148807 | Medicaid | MO | |
| 20245 | Other | MO | ANTHEM BCBS |
| 022155151 | Other | MO | TRAVELERS RR MEDICARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208600000X | Surgery | 33051 (Missouri) | 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. Rogelio L Bautista is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Rogelio L Bautista, MD
1201 N Rutherford St,
Macon, MO 63552-2020
Ph: (660) 385-8900 | Rogelio L Bautista, MD
1201 N Rutherford St,
Macon, MO 63552-2020
Ph: (660) 385-8900 |
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