Mary J Baker, FNP is a medicare enrolled "Nurse Practitioner - Family" in Shady Cove, Oregon. Her current practice location is
21990 Highway 62, Shady Cove, Oregon. You can reach out to her office (for appointments etc.) via phone at
(541) 878-2022.
Mary J Baker is licensed to practice in Oregon (license number 201350028NP) 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 1053650960.
Provider's Profile
| Full Name | Mary J Baker |
|---|
| Gender | Female |
|---|
| Speciality | Nurse Practitioner - Family |
|---|
| Location | 21990 Highway 62, Shady Cove, Oregon |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1053650960
- Provider Enumeration Date: 02/13/2013
- Last Update Date: 08/12/2020
Medicare PECOS Information:
- PECOS PAC ID: 4880832146
- Enrollment ID: I20130528000051
Medical Identifiers
Medical identifiers for Mary J Baker such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1053650960 | NPI | - | NPPES |
| 500655794 | Medicaid | OR | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363LF0000X | Nurse Practitioner - Family | 201350028NP (Oregon) | 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. Mary J Baker allows following entities to bill medicare on her behalf.
| Entity Name | Kathleen S Finley |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1609850940 PECOS PAC ID: 6305839283 Enrollment ID: O20040406001311 |
|---|
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. Mary J 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 |
Mary J Baker, FNP Po Box 428, Shady Cove, OR 97539-0428 Ph: (541) 878-2022 | Mary J Baker, FNP 21990 Highway 62, Shady Cove, OR 97539-9717 Ph: (541) 878-2022 |
Reviews and Comments