Vanessa Bautista, is a
Psychologist - School based in Fort Moore, Georgia. Vanessa Bautista is licensed to practice in Texas (license number 72067) and her current practice location is
5253 10th Armored Loop, Fort Moore, Georgia. She can be reached at her office (for appointments etc.) via phone at
(831) 245-8662.
NPI number for Vanessa Bautista is 1588485825 and her current mailing address is 5253 10th Armored Loop, Fort Moore, Georgia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1588485825.
Healthcare Provider's Profile
Full Name | Vanessa Bautista |
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Gender | Female |
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Speciality | Psychologist - School |
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Location | 5253 10th Armored Loop, Fort Moore, Georgia |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1588485825
- Provider Enumeration Date: 10/19/2024
- Last Update Date: 10/19/2024
Medical Identifiers
Medical identifiers for Vanessa Bautista such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1588485825 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TS0200X | Psychologist - School | 72067 (Texas) | 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. Vanessa 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 |
Vanessa Bautista, 5253 10th Armored Loop, Fort Moore, GA 31905-7088 Ph: (831) 245-8662 | Vanessa Bautista, 5253 10th Armored Loop, Fort Moore, GA 31905-7088 Ph: (831) 245-8662 |
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