Analissa Kitana Bautista, DPT in Hayward, CA - Medicare Physical Therapist Provider

Analissa Kitana Bautista, DPT is a medicare enrolled "Physical Therapist" provider in Hayward, California. Her current practice location is 29022 Jetty Way, Hayward, California. You can reach out to her office (for appointments etc.) via phone at (510) 861-2754.

Analissa Kitana Bautista is licensed to practice in California (license number PT303309) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1568176444.

Contact Information

	Analissa Kitana Bautista, DPT
	29022 Jetty Way, Hayward, CA 94545-1361
	(510) 861-2754
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Analissa Kitana Bautista
Gender	Female
Speciality	Physical Therapist
Location	29022 Jetty Way, Hayward, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1568176444
Provider Enumeration Date: 01/06/2023
Last Update Date: 01/06/2023

Medicare PECOS Information:

PECOS PAC ID: 2062877376
Enrollment ID: I20230420000338

Medical Identifiers

Medical identifiers for Analissa Kitana Bautista such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1568176444	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT303309 (California)	Primary

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. Analissa Kitana Bautista allows following entities to bill medicare on her behalf.

Provider Name	Permanente Medical Group Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

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. Analissa Kitana 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
Analissa Kitana Bautista, DPT 29022 Jetty Way, Hayward, CA 94545-1361 Ph: (510) 861-2754	Analissa Kitana Bautista, DPT 29022 Jetty Way, Hayward, CA 94545-1361 Ph: (510) 861-2754

Reviews and Comments

Physical Therapist in Hayward, CA

Alka Raisinghani, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 25919 Gading Rd, Hayward, CA 94544 Phone: 510-782-8424
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Isaiah M Fernandez, PT Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 22330 Main St, Hayward, CA 94541 Phone: 510-732-7881 Fax: 510-732-0450
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Christine Nicole Francis, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 19700 Hesperian Blvd, Hayward, CA 94541 Phone: 510-785-2880
Rehabrewards, Inc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 771 Jackson St, Suite B, Hayward, CA 94544 Phone: 800-997-8830 Fax: 510-280-8802

Analissa Kitana Bautista, DPT - Medicare Physical Therapist in Hayward, CA