Brent Wyatt Baker, PA-C is a medicare enrolled "Physician Assistant - Surgical" in Red Oak, Texas. His current practice location is
104 Plaza Dr, Red Oak, Texas. You can reach out to his office (for appointments etc.) via phone at
(469) 916-9750.
Brent Wyatt Baker is licensed to practice in Texas (license number PA04634) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1770774648.
Provider's Profile
| Full Name | Brent Wyatt Baker |
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| Gender | Male |
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| Speciality | Physician Assistant - Surgical |
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| Location | 104 Plaza Dr, Red Oak, Texas |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1770774648
- Provider Enumeration Date: 08/06/2007
- Last Update Date: 02/06/2026
Medicare PECOS Information:
- PECOS PAC ID: 8022102300
- Enrollment ID: I20070918000005
Medical Identifiers
Medical identifiers for Brent Wyatt Baker such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1770774648 | NPI | - | NPPES |
| 217344504 | Medicaid | TX | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363AS0400X | Physician Assistant - Surgical | PA04634 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Brent Wyatt Baker is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Brent Wyatt Baker, PA-C 104 Plaza Dr, Red Oak, TX 75154-3981 Ph: (469) 916-9750 | Brent Wyatt Baker, PA-C 104 Plaza Dr, Red Oak, TX 75154-3981 Ph: (469) 916-9750 |
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