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Mark Gerard D. Bautista, PA-C

NPI 1912487455ActiveIndividual· Physician Assistant· Apo, AE

Physician Assistant (PA-C) in Apo, Armed Forces Europe, with an NPI issued in August 2018. Enrolled in Medicare as order and referring only - physician assistant.

Overview

NPI1912487455
StatusActive
Entity typeIndividual
CredentialPA-C
Sole proprietorNo
NPI issuedAug 15, 2018
Last updated in NPPESSep 27, 2024
Certified by providerSep 26, 2024

Specialties and licenses

TaxonomyCodeLicenseState
Physician Assistant Primary363A00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Order and Referring Only - Physician Assistant (OH)

Medicare sources and data years

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other Physician Assistant providers in Apo

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