Mr David Michael Baker, LPN is a
Licensed Practical Nurse based in Maryville, Illinois. Mr David Michael Baker is licensed to practice in Missouri (license number 2023021980) and his current practice location is
912 Oakridge Dr, Maryville, Illinois. He can be reached at his office (for appointments etc.) via phone at
(618) 977-8950.
NPI number for Mr David Michael Baker is 1558047936 and his current mailing address is 912 Oakridge Dr, Maryville, Illinois. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1558047936.
Provider's Profile
| Full Name | Mr David Michael Baker |
|---|
| Gender | Male |
|---|
| Speciality | Licensed Practical Nurse |
|---|
| Location | 912 Oakridge Dr, Maryville, Illinois |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1558047936
- Provider Enumeration Date: 06/22/2023
- Last Update Date: 06/22/2023
Medical Identifiers
Medical identifiers for Mr David Michael Baker such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1558047936 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 164W00000X | Licensed Practical Nurse | 2023021980 (Missouri) | Primary |
| 224Z00000X | Occupational Therapy Assistant | 057004598 (Illinois) | Secondary |
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. Mr David Michael Baker 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 |
Mr David Michael Baker, LPN 912 Oakridge Dr, Maryville, IL 62062-6676 Ph: (618) 977-8950 | Mr David Michael Baker, LPN 912 Oakridge Dr, Maryville, IL 62062-6676 Ph: (618) 977-8950 |
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