Emmanuel Estavillo Bautista, MD in Bridgeport, CT - Family Medicine

Emmanuel Estavillo Bautista, MD is a Family Medicine physician based in Bridgeport, Connecticut. Emmanuel Estavillo Bautista is licensed to practice in Connecticut (license number 025021) and his current practice location is Southwest Ct Mental Health System Attn Sandra Grazynski, 1635 Central Avenue Room 213, Bridgeport, Connecticut. He can be reached at his office (for appointments etc.) via phone at (203) 551-7660.

NPI number for Emmanuel Estavillo Bautista is 1902965106 and his current mailing address is Southwest Ct Mental Health System Attn Sandra Grazynsk, 1635 Central Avenue Room 213, Bridgeport, Connecticut. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1902965106.

Contact Information

	Emmanuel Estavillo Bautista, MD
	Southwest Ct Mental Health System Attn Sandra Grazynski, 1635 Central Avenue Room 213, Bridgeport, CT 06610
	(203) 551-7660
	(203) 551-7481

Physician's Profile

Full Name	Emmanuel Estavillo Bautista
Gender	Male
Speciality	Family Medicine
Location	Southwest Ct Mental Health System Attn Sandra Grazynski, Bridgeport, Connecticut
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1902965106
Provider Enumeration Date: 12/06/2006
Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Emmanuel Estavillo Bautista such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1902965106	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	025021 (Connecticut)	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. Emmanuel Estavillo 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
Emmanuel Estavillo Bautista, MD Southwest Ct Mental Health System Attn Sandra Grazynsk, 1635 Central Avenue Room 213, Bridgeport, CT 06610 Ph: (203) 551-7660	Emmanuel Estavillo Bautista, MD Southwest Ct Mental Health System Attn Sandra Grazynski, 1635 Central Avenue Room 213, Bridgeport, CT 06610 Ph: (203) 551-7660

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Family Medicine Doctors in Bridgeport, CT

Dr. Frank Raymond Scifo, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 2800 Main St, Bridgeport, CT 06606 Phone: 203-576-5986 Fax: 203-576-6020
Dr. John P Iannarone, MD Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 4600 Main St, Bridgeport, CT 06606 Phone: 203-371-4445
Pierre Hubert Estime, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 46 Albion St, Bridgeport, CT 06605 Phone: 203-330-6000 Fax: 203-330-6007
Laura Belland, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 267 Grant St, Bridgeport, CT 06610 Phone: 203-384-3000
Dr. Maria Mikolaenko, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2979 Main St, Bridgeport, CT 06606 Phone: 203-382-2345 Fax: 203-366-0868
Dennis Williams, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1381 Reservoir Ave, Bridgeport, CT 06606 Phone: 203-371-5197 Fax: 203-371-6118
David F Altamirano, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2800 Main St, Bridgeport, CT 06606 Phone: 203-576-6000

Emmanuel Estavillo Bautista, MD - Family Medicine in Bridgeport, CT