| Dr Joy Marie Abonitalla Bautista, DNP | |
|
Psc 482, Fpo, AP 96362-1600 | |
| (315) 646-7492 | |
| Not Available |
| Full Name | Dr Joy Marie Abonitalla Bautista |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | Psc 482, Fpo, Armed Forces Pacific |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649893769 | NPI | - | NPPES |
| Entity Name | Lake Washington Anesthesia Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962935197 PECOS PAC ID: 3678840543 Enrollment ID: O20170524001681 |
| Entity Name | Gastroenterology Associates Clinical Practice Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811556442 PECOS PAC ID: 2062770605 Enrollment ID: O20191025001578 |
| Entity Name | Anesthesia Dynamics Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073001012 PECOS PAC ID: 3779832530 Enrollment ID: O20201002002223 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Joy Marie Abonitalla Bautista, DNP Psc 482, Fpo, AP 96362-1600 Ph: (315) 646-7492 | Dr Joy Marie Abonitalla Bautista, DNP Psc 482, Fpo, AP 96362-1600 Ph: (315) 646-7492 |
Juan Felipe Canchon, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: Psc 482 Box 1600, Fpo, AP 96362 Phone: 315-646-7494 | |
Mr. Shawn Russell Bowdoin, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: Psc 482, Box 4, Fpo, AP 96362 Phone: 315-643-7490 | |
Melissa Marie Bokan, CRNA, DNP Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: Psc 475 Box 1, Fpo, AP 96350 Phone: 865-310-6352 | |
Dr. Byron Fjeld, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: Psc 482 Box 1600, Fpo, AP 96362 Phone: 406-390-1128 | |
Matthew Eric Kirchoff, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: Psc 482 Box 1600, Fpo, AP 96362 Phone: 812-212-5219 | |
Amanda Jane Honig, DNP Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: Psc 475, Fpo, AP 96350 Phone: 619-278-1141 |