Daniela De Vasques Baker, PSYD is a medicare enrolled "Psychologist" provider in Santa Rosa, California. Her current practice location is
4865 Old Redwood Hwy Ste 102, Santa Rosa, California. You can reach out to her office (for appointments etc.) via phone at
(415) 254-3797.
Daniela De Vasques Baker is licensed to practice in California (license number 26897) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1427112408.
Healthcare Provider's Profile
| Full Name | Daniela De Vasques Baker |
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| Gender | Female |
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| Speciality | Psychologist |
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| Location | 4865 Old Redwood Hwy Ste 102, Santa Rosa, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1427112408
- Provider Enumeration Date: 12/21/2006
- Last Update Date: 02/14/2025
Medicare PECOS Information:
- PECOS PAC ID: 8123549854
- Enrollment ID: I20250310003155
Medical Identifiers
Medical identifiers for Daniela De Vasques Baker such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1427112408 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 103T00000X | Psychologist | 26897 (California) | Primary |
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. Daniela De Vasques Baker allows following entities to bill medicare on her behalf.
| Entity Name | Permanente Medical Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1073606299
PECOS PAC ID: 8921910225
Enrollment ID: O20031104000710 |
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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. Daniela De Vasques Baker 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 Address | Practice Location Address |
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Daniela De Vasques Baker, PSYD
4865 Old Redwood Hwy Ste 102,
Santa Rosa, CA 95403-1415
Ph: (415) 254-3797 | Daniela De Vasques Baker, PSYD
4865 Old Redwood Hwy Ste 102,
Santa Rosa, CA 95403-1415
Ph: (415) 254-3797 |
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