Lisa Anne Baker, in Atwater, CA - Medicare Nurse Practitioner

Lisa Anne Baker, is a medicare enrolled "Nurse Practitioner - Family" in Atwater, California. Her current practice location is 3064 Claret Cir, Atwater, California. You can reach out to her office (for appointments etc.) via phone at (559) 676-5911.

Lisa Anne Baker is licensed to practice in California (license number 95012202) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1205489903.

Contact Information

	Lisa Anne Baker,
	3064 Claret Cir, Atwater, CA 95301-2214
	(559) 676-5911
	Not Available

Map and Direction

Provider's Profile

Full Name	Lisa Anne Baker
Gender	Female
Speciality	Nurse Practitioner - Family
Location	3064 Claret Cir, Atwater, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1205489903
Provider Enumeration Date: 07/22/2019
Last Update Date: 07/22/2019

Medicare PECOS Information:

PECOS PAC ID: 9234515099
Enrollment ID: I20220930001754

Medical Identifiers

Medical identifiers for Lisa Anne Baker such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1205489903	NPI	-	NPPES
95012202	Other	CA	NURSE PRACTITIONER
95012202	Other	CA	MEDI-CAL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	95012202 (California)	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. Lisa Anne Baker allows following entities to bill medicare on her behalf.

Entity Name	John C Fremont Healthcare District
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750504270 PECOS PAC ID: 5890689533 Enrollment ID: O20040212000193

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. Lisa Anne 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
Lisa Anne Baker, 3064 Claret Cir, Atwater, CA 95301-2214 Ph: () -	Lisa Anne Baker, 3064 Claret Cir, Atwater, CA 95301-2214 Ph: (559) 676-5911

Reviews and Comments

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Lisa Anne Baker, - Medicare Nurse Practitioner in Atwater, CA