Bill T Bautsch Jr. (NPI# 1629176813, PAC ID# 9032301627) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1629176813 |
| PAC ID by PECOS | 9032301627 |
| Professional Enrollment ID | I20101014000943 |
| Full Name | Bill T Bautsch Jr. |
| Organization Legal Name | PENSACOLA PRIMARY CARE INC |
| Address |
4244 Avalon Blvd Milton FL 32583-2808 |
| Phone Number | 8504944600 |
| Gender | M |
| Medical School | UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON |
| Graduation Year | 1982 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialties | GENERAL PRACTICE |
| Group Practice PAC ID | 6002718343 |
| Number of Group Practice Members | 20 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100231 | WEST FLORIDA HOSPITAL |
| 100124 | SANTA ROSA MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 4244 Avalon Blvd, Milton, FL 32583-2808 | 8504944600 | PENSACOLA PRIMARY CARE INC |
| Organization Legal Name | PENSACOLA PRIMARY CARE INC |
| Physicians | 24 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sean Ashley Tolbert | Nurse Practitioner | Pensacola Primary Care Inc | 2360 Us Hwy 29 S, Cantonment, FL 32533 |
| Tavaris R Brooks Sr. | Nurse Practitioner | Pensacola Primary Care Inc | 7458 Pine Forest Rd, Pensacola, FL 32526-8818 |
| Vicki L Hankins | Nurse Practitioner | Pensacola Primary Care Inc | 4262 Woodbine Rd, Pace, FL 32571-8703 |
| Joe A Dunn Jr. | Family Medicine | Pensacola Primary Care Inc | 321 E Fairfield Dr, Pensacola, FL 32506-4990 |
| William S Willis | Family Medicine | Pensacola Primary Care Inc | 4601 Spanish Trl, Pensacola, FL 32504-5039 |
| Christopher H Rush | Family Medicine | Pensacola Primary Care Inc | 6431 N W St, Pensacola, FL 32505-1719 |
| Benjamin L Konell | Family Medicine | Pensacola Primary Care Inc | 321 E Fairfield Dr, Pensacola, FL 32506-4990 |
| Rex D Delaune | Family Medicine | Pensacola Primary Care Inc | 6431 N W St, Pensacola, FL 32505-1719 |
| Edward Anthony Schuka | Family Medicine | Pensacola Primary Care Inc | 1190 E Nine Mile Rd, Pensacola, FL 32514-1651 |
| Lisa A Looper | Nurse Practitioner | Pensacola Primary Care Inc | 321 E Fairfield Dr, Pensacola, FL 32506-4990 |
| Street Address |
4244 AVALON BLVD |
| City | MILTON |
| State | FL |
| Zip | 32583-2808 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Janice M Hudson | Family Practice | Pensacola Primary Care Inc | 4244 Avalon Blvd, Milton, FL 32583-2808 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Edwin E Taylor | Family Medicine | Santa Rosa Hma Physician Management, LLC | 4264 Avalon Blvd, Milton, FL 32583-2808 |
| City | MILTON |
| Zip Code | 32583 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | MILTON + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Bill T Bautsch Jr..
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.