| Dr Elizabeth D Baker, MD | |
|
300 Main St, Lewiston, ME 04240-7027 | |
| (207) 795-7575 | |
| (207) 344-0350 |
| Full Name | Dr Elizabeth D Baker |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 300 Main St, Lewiston, Maine |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669762746 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 260329 (Massachusetts) | Secondary |
| 208000000X | Pediatrics | MD20351 (Maine) | Primary |
| Entity Name | Baystate Medical Practices Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548205909 PECOS PAC ID: 5991602971 Enrollment ID: O20040225000080 |
| Entity Name | Children's Hospital Pediatric Associates, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457306664 PECOS PAC ID: 3476541830 Enrollment ID: O20040504000964 |
| Entity Name | Emerson Practice Associates, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508020199 PECOS PAC ID: 8123188117 Enrollment ID: O20081120000518 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Elizabeth D Baker, MD 300 Main St, Lewiston, ME 04240-7027 Ph: (207) 795-7575 | Dr Elizabeth D Baker, MD 300 Main St, Lewiston, ME 04240-7027 Ph: (207) 795-7575 |
Stephanie Boggs, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 300 Main St, Lewiston, ME 04240 Phone: 207-795-0111 | |
Ambia Ahmed, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 12 High St Ste 302, Lewiston, ME 04240 Phone: 207-795-5730 | |
Marly Leigh Biermann, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 300 Main St, Lewiston, ME 04240 Phone: 207-795-7575 Fax: 207-344-0350 | |
Kathleen S Bain, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 12 High St, Ste 301, Lewiston, ME 04240 Phone: 207-795-5730 Fax: 207-795-5749 | |
Erin R Van Wagenen, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 12 High St Ste 302, Lewiston, ME 04240 Phone: 207-795-5730 Fax: 207-795-5749 | |
Dr. Kathlyn Valleau Wilde, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 33 Mollison Way, Lewiston, ME 04240 Phone: 207-784-5784 Fax: 207-783-9268 | |
Amy Belisle, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 12 High St, Suite 200, Lewiston, ME 04240 Phone: 207-795-0111 |