| Shukairo Mack Baker, APRN, PMHNP-BC, LCSW | |
|
455 Lakeshore Pkwy, Rock Hill, SC 29730-4205 | |
| (803) 909-6363 | |
| (803) 909-6390 |
| Full Name | Shukairo Mack Baker |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 2 Years |
| Location | 455 Lakeshore Pkwy, Rock Hill, South Carolina |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659666444 | NPI | - | NPPES |
| Q554550281 | Other | SC | PTAN |
| 1659666444 | Medicaid | NC | |
| SW1253 | Medicaid | SC |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ihc Health Services Inc | 1850209420 | 3956 |
| Vitae Health Medical North Carolina Pllc | 7719317932 | 43 |
| Entity Name | Ihc Health Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942325154 PECOS PAC ID: 1850209420 Enrollment ID: O20080610000303 |
| Mailing Address | Practice Location Address |
|---|---|
| Shukairo Mack Baker, APRN, PMHNP-BC, LCSW 455 Lakeshore Pkwy, Rock Hill, SC 29730-4205 Ph: () - | Shukairo Mack Baker, APRN, PMHNP-BC, LCSW 455 Lakeshore Pkwy, Rock Hill, SC 29730-4205 Ph: (803) 909-6363 |
Mrs. Mary Jo Barreto, APRN-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: Winthrop University Health Services, Rock Hill, SC 29733 Phone: 803-323-2206 Fax: 803-323-3332 | |
Tara Brown Garrick, MSN, APRN, FNP-C Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 2275 India Hook Rd, Rock Hill, SC 29732 Phone: 803-329-1500 Fax: 803-329-1695 | |
Kenyate Bradley, AGNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2450 India Hook Rd, Rock Hill, SC 29732 Phone: 803-366-7443 | |
Ms. Wanda Kaye Clark, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1151 Camden Ave, Rock Hill, SC 29732 Phone: 803-909-6363 Fax: 803-909-6364 | |
Marta Pacheco, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1617 Shetland Ln, Rock Hill, SC 29730 Phone: 540-797-4361 | |
Andrea Blakeman, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1131 Saluda St, Rock Hill, SC 29730 Phone: 803-325-7744 Fax: 803-325-1117 | |
Sarah Elizabeth Christ, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 170 Amendment Ave, Rock Hill, SC 29732 Phone: 803-324-7607 Fax: 800-332-4409 |