Dr Reymond Carbonell Bautista, DMD in Davis, CA - Medicare Dentist Provider

Dr Reymond Carbonell Bautista, DMD is a medicare enrolled "Dentist - General Practice" provider in Davis, California. His current practice location is 1109 Kennedy Pl, Suite #4, Davis, California. You can reach out to his office (for appointments etc.) via phone at (530) 753-9900.

Dr Reymond Carbonell Bautista is licensed to practice in California (license number 56217) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1003083965.

Contact Information

	Dr Reymond Carbonell Bautista, DMD
	1109 Kennedy Pl, Suite #4, Davis, CA 95616-1271
	(530) 753-9900
	(530) 753-9930

Healthcare Provider's Profile

Full Name	Dr Reymond Carbonell Bautista
Gender	Male
Speciality	Dentist - General Practice
Location	1109 Kennedy Pl, Davis, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1003083965
Provider Enumeration Date: 05/09/2008
Last Update Date: 05/09/2008

Medicare PECOS Information:

PECOS PAC ID: 9234417494
Enrollment ID: I20161024001381

Medical Identifiers

Medical identifiers for Dr Reymond Carbonell Bautista such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003083965	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	56217 (California)	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. Dr Reymond Carbonell 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
Dr Reymond Carbonell Bautista, DMD 1109 Kennedy Pl, #2, Davis, CA 95616-1271 Ph: (530) 753-9900	Dr Reymond Carbonell Bautista, DMD 1109 Kennedy Pl, Suite #4, Davis, CA 95616-1271 Ph: (530) 753-9900

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Dentist in Davis, CA

Dr. Naomi Zaul, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1791 Oak Ave, #c, Davis, CA 95616 Phone: 530-756-7516 Fax: 530-756-0727
Dr. Andrew Young Kim, DDS Dentist Medicare: Medicare Enrolled Practice Location: 1756 Picasso Ave Ste C, Davis, CA 95618 Phone: 307-581-3205
Dr. Benton James Runquist, D.D.S., M.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 635 Anderson Rd, Suite #6, Davis, CA 95616 Phone: 530-756-0220 Fax: 530-758-3796
Dr. Martin Weinstein, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 619 5th St, Davis, CA 95616 Phone: 714-815-2730
Ms. Farideh Ghoddusi-tabarsi, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2051 John Jones Rd, Davis, CA 95616 Phone: 530-758-1510 Fax: 530-758-1510
Samer Said Alassaad, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 635 Anderson Rd Ste 17, Davis, CA 95616 Phone: 530-757-6453 Fax: 530-757-6450

Dr Reymond Carbonell Bautista, DMD - Medicare Dentist in Davis, CA