Damon Lamar Baker, APRN is a medicare enrolled "Nurse Practitioner - Family" in Jacksonville, Fl, Florida. His current practice location is
12533 Sampson Rd, Jacksonville, Fl, Florida. You can reach out to his office (for appointments etc.) via phone at
(904) 631-5019.
Damon Lamar Baker is licensed to practice in Florida (license number 11007328) 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 1629684170.
Provider's Profile
| Full Name | Damon Lamar Baker |
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| Gender | Male |
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| Speciality | Nurse Practitioner - Family |
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| Location | 12533 Sampson Rd, Jacksonville, Fl, Florida |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1629684170
- Provider Enumeration Date: 09/21/2020
- Last Update Date: 09/21/2020
Medicare PECOS Information:
- PECOS PAC ID: 6901212109
- Enrollment ID: I20210315000493
Medical Identifiers
Medical identifiers for Damon Lamar Baker such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1629684170 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 11007328 (Florida) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Damon Lamar Baker allows following entities to bill medicare on his behalf.
| Entity Name | Hcr Manorcare Medical Services Of Florida Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1386750420
PECOS PAC ID: 2264338532
Enrollment ID: O20050413000643 |
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| Entity Name | Hni Medical Services Of Florida, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1679048284
PECOS PAC ID: 7517202112
Enrollment ID: O20190102000426 |
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| Entity Name | Mid-south Home Care Services Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1174156210
PECOS PAC ID: 4385961093
Enrollment ID: O20200507001077 |
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| Entity Name | Illumia Health Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1972341147
PECOS PAC ID: 7810424306
Enrollment ID: O20250327003580 |
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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. Damon Lamar 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 |
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Damon Lamar Baker, APRN
12533 Sampson Rd,
Jacksonville, Fl, FL 32218
Ph: (904) 631-5019 | Damon Lamar Baker, APRN
12533 Sampson Rd,
Jacksonville, Fl, FL 32218
Ph: (904) 631-5019 |
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