Nicole Chavez Bautista, PT in Vallejo, CA - Medicare Physical Therapist Provider

Nicole Chavez Bautista, PT is a medicare enrolled "Physical Therapist" provider in Vallejo, California. Her current practice location is 350 Locust Dr, Vallejo, California. You can reach out to her office (for appointments etc.) via phone at (833) 513-1132.

Nicole Chavez Bautista is licensed to practice in California (license number 302439) 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 1518685817.

Contact Information

	Nicole Chavez Bautista, PT
	350 Locust Dr, Vallejo, CA 94591-4281
	(833) 513-1132
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Nicole Chavez Bautista
Gender	Female
Speciality	Physical Therapist
Location	350 Locust Dr, Vallejo, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1518685817
Provider Enumeration Date: 08/22/2022
Last Update Date: 08/22/2022

Medicare PECOS Information:

PECOS PAC ID: 0042689473
Enrollment ID: I20221207001162

Medical Identifiers

Medical identifiers for Nicole Chavez Bautista such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1518685817	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	302439 (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. Nicole Chavez Bautista allows following entities to bill medicare on her behalf.

Provider Name	Orthopaedic And Neurological Rehab Inc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1225496540 PECOS PAC ID: 6507159126 Enrollment ID: O20160720000431

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. Nicole Chavez 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
Nicole Chavez Bautista, PT 184 Seahorse Dr, Vallejo, CA 94591-7861 Ph: () -	Nicole Chavez Bautista, PT 350 Locust Dr, Vallejo, CA 94591-4281 Ph: (833) 513-1132

Reviews and Comments

Physical Therapist in Vallejo, CA

Dawnielle Owens Vargas, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 47 Michigan St, Vallejo, CA 94590 Phone: 707-315-3761
Mr. Peter B Tan, RPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 765 Sereno Dr, Vallejo, CA 94589 Phone: 707-648-3144 Fax: 707-644-0630
Pat Regan, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-4755
Cristen Clark, Physical Therapist Medicare: Medicare Enrolled Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-4256
Jeremy Allen Jackson, Physical Therapist Medicare: Medicare Enrolled Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-4863
Jeannie Kim, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-4428
Alex Braich, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-1000

Nicole Chavez Bautista, PT - Medicare Physical Therapist in Vallejo, CA