Manuel M Bautista, MD - Medicare Pulmonary Disease in Boardman, OH

Manuel M Bautista, MD is a medicare enrolled "Internal Medicine - Critical Care Medicine" physician in Boardman, Ohio. He graduated from medical school in 1993 and has 31 years of diverse experience with area of expertise as Pulmonary Disease. He is a member of the group practice Northern Ohio Medical Specialists, Llc and his current practice location is 960 Windham Ct, Suite 1, Boardman, Ohio. You can reach out to his office (for appointments etc.) via phone at (330) 726-3357.

Manuel M Bautista is licensed to practice in Ohio (license number 35089622) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1093793689.

Contact Information

Manuel M Bautista, MD
960 Windham Ct, Suite 1,
Boardman, OH 44512-5087
(330) 726-3357
(330) 726-1465



Physician's Profile

Full NameManuel M Bautista
GenderMale
SpecialityPulmonary Disease
Experience31 Years
Location960 Windham Ct, Boardman, Ohio
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Manuel M Bautista graduated from medical school in 1993
  NPI Data:
  • NPI Number: 1093793689
  • Provider Enumeration Date: 01/04/2006
  • Last Update Date: 07/01/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 3173500642
  • Enrollment ID: I20070814000181

Medical Identifiers

Medical identifiers for Manuel M Bautista such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1093793689NPI-NPPES
2475585MedicaidOH

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RP1001XInternal Medicine - Pulmonary Disease 35089622 (Ohio)Secondary
207RS0012XInternal Medicine - Sleep Medicine 35089622 (Ohio)Secondary
207RC0200XInternal Medicine - Critical Care Medicine 35089622 (Ohio)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Trumbull Regional Medical CenterWarren, OHHospital
Hmhp St Elizabeth Boardman Health CenterBoardman, OHHospital
St Elizabeth Youngstown HospitalYoungstown, OHHospital
Surgical Hospital At SouthwoodsYoungstown, OHHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Northern Ohio Medical Specialists, Llc2769386192293

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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. Manuel M Bautista allows following entities to bill medicare on his behalf.
Entity NameNorthern Ohio Medical Specialists, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1225085855
PECOS PAC ID: 2769386192
Enrollment ID: O20031126000214

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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. Manuel M 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 AddressPractice Location Address
Manuel M Bautista, MD
Po Box 378,
Sandusky, OH 44871-0378

Ph: (419) 609-1112
Manuel M Bautista, MD
960 Windham Ct, Suite 1,
Boardman, OH 44512-5087

Ph: (330) 726-3357

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Internal Medicine Doctors in Boardman, OH

Mrs. Jessica Harriman Austin, DO
Critical Care Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 8401 Market St, Boardman, OH 44512
Phone: 330-729-4298    Fax: 330-480-2926
Dr. Thomas Nicholas Detesco, M.D.
Critical Care Medicine
Medicare: Medicare Enrolled
Practice Location: 7341 Eisenhower Dr, Boardman, OH 44512
Phone: 330-726-1138    Fax: 330-726-6128
Dr. Thomas E Hunt, DO
Critical Care Medicine
Medicare: Medicare Enrolled
Practice Location: 7206 Market St Ste 100a, Boardman, OH 44512
Phone: 330-726-3379    Fax: 330-726-8683
Dr. Keith Layne Henson, DO
Critical Care Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 8401 Market Street, C/o Medical Staff Office, Boardman, OH 44512
Phone: 330-533-5699    Fax: 330-702-1144
Amer Aldamouk, M.D.
Critical Care Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 8401 Market St, Boardman, OH 44512
Phone: 330-729-4298    Fax: 330-729-1897
Dr. Abhay Sharma, MD
Critical Care Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 8401 Market St, Boardman, OH 44512
Phone: 330-729-4298    Fax: 330-729-1591

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