MEDICARE: DR. MICHELLE D. BACHTEL M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RC0000X	Cardiovascular Disease Physician	ME72196	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	32703	OTHER	FL	FLORIDA BLUE
3	32703	OTHER	FL	INDIVIDUAL BCBS ID
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	RJ407	OTHER	FL	HFMG MA

General Provider Information

NPI Number	:	1205839222
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHELLE D. BACHTEL M.D.

Provider Business Mailing Address
First Line	:	PO BOX 11396
Second Line	:
City	:	BELFAST
State	:	ME
Zip	:	04915-4004
Country	:	US
Telephone Number	:	305-294-5727
Fax Number	:

Provider Business Practice Location Address
First Line	:	3428 N ROOSEVELT BLVD
Second Line	:
City	:	KEY WEST
State	:	FL
Zip	:	33040-4224
Country	:	US
Telephone Number	:	305-294-5727
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/23/2005
Last Update Date	:	08/28/2023

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Directions to “ DR. MICHELLE D. BACHTEL M.D.” Practice Location

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