| Jacqueline Baca, MD | |
|
81 Highland Ave, Salem, MA 01970-2714 | |
| (978) 741-1200 | |
| Not Available |
| Full Name | Jacqueline Baca |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 81 Highland Ave, Salem, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659826808 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 1026063 (Massachusetts) | Primary |
| Entity Name | University Hospitals Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669499414 PECOS PAC ID: 4789682493 Enrollment ID: O20061113000301 |
| Mailing Address | Practice Location Address |
|---|---|
| Jacqueline Baca, MD 81 Highland Ave, Salem, MA 01970-2714 Ph: (978) 741-1200 | Jacqueline Baca, MD 81 Highland Ave, Salem, MA 01970-2714 Ph: (978) 741-1200 |
Linda J Morgan, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 57 Highlands Ave, Er, Salem, MA 01970 Phone: 978-354-2815 Fax: 978-744-9247 | |
Jean L Sheeley, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 72 Highland Ave, Salem, MA 01970 Phone: 978-745-3050 Fax: 978-744-9594 | |
Dr. Donald T Mcauliffe, MD Pediatrics Medicare: May Accept Medicare Assignments Practice Location: 72 Highland Avenue, Pediatric Associates Of Greater Salem, Salem, MA 01970 Phone: 978-445-3050 Fax: 978-744-9594 | |
Dr. Cheryl M D Souza, MD Pediatrics Medicare: May Accept Medicare Assignments Practice Location: 72 Highland Ave, Pediatric Associates Of Greater Salem, Salem, MA 01970 Phone: 978-745-3050 Fax: 978-744-9594 | |
Dr. Donna Khodarahmi Wren, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 81 Highland Ave, North Shore Medical Center, Salem, MA 01970 Phone: 978-354-2815 Fax: 978-740-4702 | |
Dr. Jocelyn Sicat, M.D. Pediatrics Medicare: May Accept Medicare Assignments Practice Location: 72 Highland Ave, Salem, MA 01970 Phone: 978-745-3050 | |
Andrea P Tish, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 57 Highland Ave, Er, Salem, MA 01970 Phone: 978-354-2815 Fax: 978-744-9247 |