| Dr Nicole E Baker, DO | |
|
1501 Professional Dr, Imperial, MO 63052-3809 | |
| (636) 547-7300 | |
| Not Available |
| Full Name | Dr Nicole E Baker |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 21 Years |
| Location | 1501 Professional Dr, Imperial, Missouri |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235340332 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 2007003891 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Missouri Baptist Medical Center | Town and country, MO | Hospital |
| Mercy Hospital Jefferson | Festus, MO | Hospital |
| Barnes Jewish Hospital | Saint louis, MO | Hospital |
| Mercy Hospital South | Saint louis, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Aging Well Health Care, Llc | 1153232038 | 189 |
| Physician Groups Lc | 3072421254 | 455 |
| Entity Name | Physician Groups Lc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285664268 PECOS PAC ID: 3072421254 Enrollment ID: O20040220001157 |
| Entity Name | Family Medicine - Slmg South Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164077822 PECOS PAC ID: 3971833443 Enrollment ID: O20190925003479 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Nicole E Baker, DO 660 Mason Ridge Center Dr Ste 300, Saint Louis, MO 63141-8512 Ph: (314) 448-3791 | Dr Nicole E Baker, DO 1501 Professional Dr, Imperial, MO 63052-3809 Ph: (636) 547-7300 |
Amanda Turner, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1254 Main St, Imperial, MO 63052 Phone: 636-741-3130 Fax: 636-741-3131 | |
Michael A Patterson, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1501 Professional Dr, Imperial, MO 63052 Phone: 636-547-7300 |