| Randolph Marshall Baker, MD | |
|
33 Rebecca Dr, Palmyra, VA 22963-6242 | |
| (434) 654-4680 | |
| (434) 589-6688 |
| Full Name | Randolph Marshall Baker |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 31 Years |
| Location | 33 Rebecca Dr, Palmyra, Virginia |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265448310 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 0101259557 (Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Sentara Martha Jefferson Hospital | Charlottesville, VA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Martha Jefferson Medical Group Llc | 5991889081 | 170 |
| Entity Name | Martha Jefferson Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275720559 PECOS PAC ID: 5991889081 Enrollment ID: O20080228000055 |
| Mailing Address | Practice Location Address |
|---|---|
| Randolph Marshall Baker, MD Po Box 79777, Baltimore, MD 21279-0777 Ph: (434) 654-7794 | Randolph Marshall Baker, MD 33 Rebecca Dr, Palmyra, VA 22963-6242 Ph: (434) 654-4680 |
Dr. Justin Andrew Coles, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 33 Rebecca Dr, Palmyra, VA 22963 Phone: 434-654-4680 | |
Dr. Susan J. Moore, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 112 Crofton Place, Uva Lake Monticello Internal Medicine, Palmyra, VA 22963 Phone: 434-589-9030 Fax: 434-589-9040 | |
Sailey Nimmagadda, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 77 Market St Ste E, Palmyra, VA 22963 Phone: 434-589-9030 Fax: 434-589-9040 | |
Laura C Howard, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 33 Rebecca Dr, Palmyra, VA 22963 Phone: 434-654-4680 Fax: 434-589-6688 |