Lilli-anna Baca, is a medicare enrolled "Psychologist" provider in El Dorado, Arkansas. She graduated from healthcare school in 2020 and has 6 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Total Life Inc and her current practice location is
715 N College Ave, El Dorado, Arkansas. You can reach out to her office (for appointments etc.) via phone at
(870) 862-7921.
Lilli-anna Baca is licensed to practice in Arkansas (license number 202116) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1831589431.
Healthcare Provider's Profile
| Full Name | Lilli-anna Baca |
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| Gender | Female |
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| Speciality | Clinical Psychologist |
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| Experience | 6 Years |
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| Location | 715 N College Ave, El Dorado, Arkansas |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Lilli-anna Baca graduated from medical school in 2020
NPI Data:
- NPI Number: 1831589431
- Provider Enumeration Date: 02/03/2015
- Last Update Date: 01/03/2023
Medicare PECOS Information:
- PECOS PAC ID: 3375916992
- Enrollment ID: I20230302000398
Medical Identifiers
Medical identifiers for Lilli-anna Baca such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1831589431 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Secondary |
| 103T00000X | Psychologist | 202116 (Arkansas) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Total Life Inc | 8123433034 | 123 |
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. Lilli-anna Baca allows following entities to bill medicare on her behalf.
| Entity Name | South Arkansas Regional Health Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1467423384
PECOS PAC ID: 0941199988
Enrollment ID: O20040315001172 |
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| Entity Name | Total Life Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1053909267
PECOS PAC ID: 8123433034
Enrollment ID: O20221101003467 |
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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. Lilli-anna Baca 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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Lilli-anna Baca,
110 Skyline Dr,
Russellville, AR 72801-3362
Ph: (479) 968-1298 | Lilli-anna Baca,
715 N College Ave,
El Dorado, AR 71730-4403
Ph: (870) 862-7921 |
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