Sammy Mark Baho, MD | |
100 Brewster Blvd, Anesthesia Department, Camp Lejeune, NC 28547 | |
(757) 953-2277 | |
Not Available |
Full Name | Sammy Mark Baho |
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Gender | Male |
Speciality | Anesthesiology |
Location | 100 Brewster Blvd, Camp Lejeune, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1407249006 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207L00000X | Anesthesiology | 0101276320 (Virginia) | Primary |
Entity Name | Cypress Coast Anesthesia Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992726855 PECOS PAC ID: 6901852193 Enrollment ID: O20050330001201 |
Mailing Address | Practice Location Address |
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Sammy Mark Baho, MD 100 Brewster Blvd, Anesthesia Department, Camp Lejeune, NC 28547 Ph: (757) 953-2277 | Sammy Mark Baho, MD 100 Brewster Blvd, Anesthesia Department, Camp Lejeune, NC 28547 Ph: (757) 953-2277 |
Jason Fleenor, Anesthesiology Medicare: Medicare Enrolled Practice Location: 100 Brewster Blvd, Camp Lejeune, NC 28547 Phone: 910-450-4357 | |
Robert Brett Goy, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 100 Brewster Blvd, Camp Lejeune, NC 28547 Phone: 910-450-4159 Fax: 910-450-4194 | |
Manuel A. Colon-dejesus, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 100 Brewster Blvd, Camp Lejeune, NC 28547 Phone: 910-450-4300 | |
Andrew Clifford Graf, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 100 Brewster Blvd, Camp Lejeune, NC 28547 Phone: 910-450-4719 | |
Dr. Carlos Hermes Casamalhuapa, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 100 Brewster Blvd, Camp Lejeune, NC 28547 Phone: 910-450-4357 | |
Dr. Michael Andrew Lee, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 100 Brewster Blvd, Camp Lejeune, NC 28547 Phone: 910-450-4786 | |
Nicholas Jordan Reaves, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 100 Brewster Blvd, Camp Lejeune, NC 28547 Phone: 908-448-7842 |