| Dr Kenneth C Baker, MD | |
|
600 N Park St, Brenham, TX 77833 | |
| (979) 836-6153 | |
| Not Available |
| Full Name | Dr Kenneth C Baker |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 600 N Park St, Brenham, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619970720 | NPI | - | NPPES |
| 100655303 | Medicaid | TX | |
| 101821 | Other | TX | SUPERIOR CHIPS |
| 4535342 | Other | TX | AETNA |
| 10008791 | Other | TX | AMERIGROUP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | F3730 (Texas) | Primary |
| Entity Name | Regional Employee Assistance Program Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649232984 PECOS PAC ID: 1557260064 Enrollment ID: O20040612000731 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kenneth C Baker, MD Po Box 844658, Dallas, TX 75284-4658 Ph: (800) 994-0371 | Dr Kenneth C Baker, MD 600 N Park St, Brenham, TX 77833 Ph: (979) 836-6153 |
Dr. Michelle Thomas, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 600 N Park St, Brenham, TX 77833 Phone: 979-337-5800 | |
Dr. Cassandra M Bryant, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 600 N Park St, Brenham, TX 77833 Phone: 979-836-6153 | |
Dr. Derek Lane Husmann, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 600 N Park St, Brenham, TX 77833 Phone: 979-836-6153 | |
Mary Dorgant Mcclean, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1910 Niebuhr St, Brenham, TX 77833 Phone: 713-791-9966 | |
Washington Andres Marin Castro, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 600 N Park St, Brenham, TX 77833 Phone: 979-337-5816 Fax: 979-337-5810 | |
Dr. Donald Kenneth Draehn, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 600 North Park St, Brenham, TX 77833 Phone: 979-836-6153 |