| Clairalyn Lois Baucom, MD | |
|
Kadena Pediatric Clinic, 18mdg / Sghq Unit 5142, Apo, AP 96367-5142 | |
| (315) 630-4542 | |
| Not Available |
| Full Name | Clairalyn Lois Baucom |
|---|---|
| Gender | Female |
| Speciality | General Practice |
| Location | Kadena Pediatric Clinic, Apo, Armed Forces Pacific |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760569339 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 0101240222 (Virginia) | Primary |
| Entity Name | Commonwealth Healthcare Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285858290 PECOS PAC ID: 7719075167 Enrollment ID: O20071212000093 |
| Mailing Address | Practice Location Address |
|---|---|
| Clairalyn Lois Baucom, MD 18mdos, Psc 80 Box 15477, Apo, AP 96367-5142 Ph: (315) 630-4542 | Clairalyn Lois Baucom, MD Kadena Pediatric Clinic, 18mdg / Sghq Unit 5142, Apo, AP 96367-5142 Ph: (315) 630-4542 |
Francesann Hill, M.D. General Practice Medicare: Not Enrolled in Medicare Practice Location: 3214 East Santiago Avenue, Apo, AP 99703 Phone: 907-353-2497 |
Dr. Kevin Michael Cron, MD, MPH General Practice Medicare: Not Enrolled in Medicare Practice Location: Brian D Allgood Army Community Hospital, Bldg 3030, Apo, AP 96271 Phone: 315-737-1731 |
Ms. Maryrose Delgallego Chuidian, DO General Practice Medicare: Not Enrolled in Medicare Practice Location: 18th Medical Group, Unit 5142, Apo, AP 96368 Phone: 315-630-4780 |
Dr. Jessica Lim Irby, MD General Practice Medicare: Not Enrolled in Medicare Practice Location: 18th Medical Group, Unit 5268, Bldg 626, 2nd Floor, Apo, AP 96368 Phone: 315-630-4780 |
Dr. Justin Elan Palm, DO General Practice Medicare: Not Enrolled in Medicare Practice Location: Misawa Air Base 35th Mdg Flight, Building 99, Unit 5024, Apo, AP 96319 Phone: 017-677-6133 |
Dr. Wenjian Tian, MD General Practice Medicare: Not Enrolled in Medicare Practice Location: Brian D. Allgood Army Community Hospital (bdaach), Unit # 15245 ; Bldg 6370, Apo, AP 96271 Phone: 503-337-2273 |
Dr. Garrison Kendal Colvin, MD General Practice Medicare: Not Enrolled in Medicare Practice Location: 1 Jarrett White Rd, Tripler Amc, Hi 96859, Apo, AP 96859 Phone: 509-590-6992 |