Lilli-anna Baca, is a
Psychologist based in El Dorado, Arkansas. Lilli-anna Baca is licensed to practice in Arkansas (license number 202116) and her current practice location is
715 N College Ave, El Dorado, Arkansas. She can be reached at her office (for appointments etc.) via phone at
(870) 862-7921.
NPI number for Lilli-anna Baca is 1831589431 and her current mailing address is 110 Skyline Dr, Russellville, Arkansas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1831589431.
Healthcare Provider's Profile
| Full Name | Lilli-anna Baca |
|---|
| Gender | Female |
|---|
| Speciality | Psychologist |
|---|
| Location | 715 N College Ave, El Dorado, Arkansas |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1831589431
- Provider Enumeration Date: 02/03/2015
- Last Update Date: 01/03/2023
Medical Identifiers
Medical identifiers for Lilli-anna Baca such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1831589431 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Secondary |
| 103T00000X | Psychologist | 202116 (Arkansas) | Primary |
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
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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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