Jon Todd Baughman, PAC is a
Physician Assistant based in Sutton, Alaska. Jon Todd Baughman is licensed to practice in New Mexico (license number PA20020040) and his current practice location is
11495 Callison Street, Life House Community Health Center, Sutton, Alaska. He can be reached at his office (for appointments etc.) via phone at
(907) 631-7665.
NPI number for Jon Todd Baughman is 1275629339 and his current mailing address is Po Box 4363, 870 Heron Drive, Page, Arizona. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1275629339.
Provider's Profile
| Full Name | Jon Todd Baughman |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Location | 11495 Callison Street, Sutton, Alaska |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1275629339
- Provider Enumeration Date: 10/05/2006
- Last Update Date: 03/03/2016
Medical Identifiers
Medical identifiers for Jon Todd Baughman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1275629339 | NPI | - | NPPES |
| 442226 | Medicaid | AZ | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | PA20020040 (New Mexico) | 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. Jon Todd Baughman is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Jon Todd Baughman, PAC
Po Box 4363, 870 Heron Drive,
Page, AZ 86040-4363
Ph: (928) 660-1337 | Jon Todd Baughman, PAC
11495 Callison Street, Life House Community Health Center,
Sutton, AK 99674-0000
Ph: (907) 631-7665 |
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