Eliseo A Bautista, MD - Surgery in Richmond, VA

Eliseo A Bautista, MD is a Surgery physician based in Richmond, Virginia. Eliseo A Bautista is licensed to practice in Virginia (license number 0101051604) and his current practice location is 5855 Bremo Rd, Suite 506, Richmond, Virginia. He can be reached at his office (for appointments etc.) via phone at (804) 285-3225.

NPI number for Eliseo A Bautista is 1073566048 and his current mailing address is 5855 Bremo Rd, Suite 506, Richmond, Virginia. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1073566048.

Contact Information

Eliseo A Bautista, MD
5855 Bremo Rd, Suite 506,
Richmond, VA 23226-1926
(804) 285-3225
(804) 285-0360



Physician's Profile

Full NameEliseo A Bautista
GenderMale
SpecialitySurgery
Location5855 Bremo Rd, Richmond, Virginia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1073566048
  • Provider Enumeration Date: 05/18/2006
  • Last Update Date: 03/12/2012

Medical Identifiers

Medical identifiers for Eliseo A Bautista such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073566048NPI-NPPES
541267736OtherVACIGNA
30961OtherVAOPTIMA
541267736OtherVAUNITED HEALTHCARE
010024536OtherVAVA PREMIER
541267736OtherVACOMMERCIAL
002940C63OtherVASECURE HORIZONS
010024536MedicaidVA
230046OtherVASOUTHERN HEALTH
44645OtherVACARENET
C06695OtherVAGROUP PTAN
002940C63OtherVAHUMANA GOLD
269001OtherVABC/BS
4270015OtherVAAETNA
002940C63OtherVAOPTIMA MEDICARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery 0101051604 (Virginia)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. Eliseo A 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 AddressPractice Location Address
Eliseo A Bautista, MD
5855 Bremo Rd, Suite 506,
Richmond, VA 23226-1926

Ph: (804) 285-3225
Eliseo A Bautista, MD
5855 Bremo Rd, Suite 506,
Richmond, VA 23226-1926

Ph: (804) 285-3225

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› Verified 7 days ago


Surgery Doctors in Richmond, VA

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Francisco Cabral Albuquerque Jr., M.D.
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Dr. Emily Burke Rivet, MD
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Medicare: Accepting Medicare Assignments
Practice Location: 1250 E Marshall St, Dept. Of Surgery/bariatric & Gastrointestinal, Richmond, VA 23298
Phone: 804-327-8001    Fax: 804-327-8002

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