Mary-jo Bautista, MA in Whittier, CA - Medicare Psychologist Provider

Mary-jo Bautista, MA is a medicare enrolled "Psychologist - Clinical" provider in Whittier, California. Her current practice location is 13715 Via Del Palma Ave, Apt G, Whittier, California. You can reach out to her office (for appointments etc.) via phone at (808) 292-5693.

Mary-jo Bautista is licensed to practice in California (license number PSY 28789) 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 1003166380.

Contact Information

	Mary-jo Bautista, MA
	13715 Via Del Palma Ave, Apt G, Whittier, CA 90602-2325
	(808) 292-5693
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mary-jo Bautista
Gender	Female
Speciality	Psychologist - Clinical
Location	13715 Via Del Palma Ave, Whittier, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1003166380
Provider Enumeration Date: 09/14/2012
Last Update Date: 12/05/2016

Medicare PECOS Information:

PECOS PAC ID: 6507140357
Enrollment ID: I20170223000722

Medical Identifiers

Medical identifiers for Mary-jo Bautista such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003166380	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	PSY 28789 (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. Mary-jo Bautista allows following entities to bill medicare on her behalf.

Entity Name	Spencer Scott Psychologist Corp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1194249292 PECOS PAC ID: 9931468089 Enrollment ID: O20180117001613

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. Mary-jo 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
Mary-jo Bautista, MA 13715 Via Del Palma Ave, Apt G, Whittier, CA 90602-2325 Ph: (808) 292-5693	Mary-jo Bautista, MA 13715 Via Del Palma Ave, Apt G, Whittier, CA 90602-2325 Ph: (808) 292-5693

Reviews and Comments

Psychologist in Whittier, CA

Adrian Garcia, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 10800 E. Benavon St., Whittier, CA 90606 Phone: 562-698-8121
Diana Zelezny, LEP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 7211 Whittier Ave, Whittier, CA 90602 Phone: 562-789-3011
Dr. Dennis E Gowans, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 7624 Painter Ave, Ste 200, Whittier, CA 90602 Phone: 562-945-6471 Fax: 562-945-9702
Dr. Daniel William Puls, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 6503 Greenleaf Ave Ste A, Whittier, CA 90601 Phone: 562-693-5541
Dr. Rebecca Ann Eberle-romberger, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 7702 Washington Ave, Whittier, CA 90602 Phone: 562-698-1272
Dr. Loretta Mead, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 7901 Painter Ave, Ste 4, Whittier, CA 90602 Phone: 909-242-5409

Mary-jo Bautista, MA - Medicare Psychologist in Whittier, CA