| Lisa Marie Baker, MD | |
|
824 N 11th St, Montevideo, MN 56265-1629 | |
| (320) 269-8877 | |
| (320) 321-8200 |
| Full Name | Lisa Marie Baker |
|---|---|
| Gender | Female |
| Speciality | Obstetrics/gynecology |
| Experience | 37 Years |
| Location | 824 N 11th St, Montevideo, Minnesota |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912970179 | NPI | - | NPPES |
| 467865600 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 36225 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Chippewa County Hospital | Montevideo, MN | Hospital |
| Appleton Area Health | Appleton, MN | Hospital |
| Johnson Memorial Hospital | Dawson, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ccm Health | 4284539453 | 48 |
| Appleton Area Health | 7618952565 | 14 |
| Entity Name | Ccm Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720086028 PECOS PAC ID: 4284539453 Enrollment ID: O20031201000642 |
| Entity Name | Johnson Memorial Health Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770697260 PECOS PAC ID: 5395653836 Enrollment ID: O20031223000327 |
| Entity Name | Infinite Health Collaborative, Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164474250 PECOS PAC ID: 1052225042 Enrollment ID: O20040209000574 |
| Entity Name | Obstetrics And Gynecology Associates, P.a. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871576116 PECOS PAC ID: 0749229748 Enrollment ID: O20050428001005 |
| Entity Name | Lake Region Healthcare Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093713372 PECOS PAC ID: 3971565334 Enrollment ID: O20060109000246 |
| Entity Name | Appleton Area Health |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1578590626 PECOS PAC ID: 7618952565 Enrollment ID: O20060504000767 |
| Entity Name | Ccm Health |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1720086028 PECOS PAC ID: 4284539453 Enrollment ID: O20060504000810 |
| Entity Name | Appleton Area Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730126673 PECOS PAC ID: 7618952565 Enrollment ID: O20060818000114 |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Marie Baker, MD 824 N 11th St, Montevideo, MN 56265-1629 Ph: (320) 269-8877 | Lisa Marie Baker, MD 824 N 11th St, Montevideo, MN 56265-1629 Ph: (320) 269-8877 |