Timothy Baker, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Golden Valley, Arizona. His current practice location is
4995 Us Highway 68, Golden Valley, Arizona. You can reach out to his office (for appointments etc.) via phone at
(928) 681-8500.
Timothy Baker is licensed to practice in Arizona (license number RNP308197) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1407697857.
Provider's Profile
| Full Name | Timothy Baker |
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| Gender | Male |
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| Speciality | Nurse Practitioner - Family |
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| Location | 4995 Us Highway 68, Golden Valley, Arizona |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1407697857
- Provider Enumeration Date: 05/31/2024
- Last Update Date: 02/14/2025
Medicare PECOS Information:
- PECOS PAC ID: 2567908155
- Enrollment ID: I20240718004393
Medical Identifiers
Medical identifiers for Timothy Baker such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1407697857 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | RNP308197 (Arizona) | 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. Timothy Baker allows following entities to bill medicare on his behalf.
| Entity Name | Apogee Medical Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1760652218
PECOS PAC ID: 2961314265
Enrollment ID: O20031104000688 |
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| Entity Name | Kingman Healthcare Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1265423917
PECOS PAC ID: 6901791367
Enrollment ID: O20040216001173 |
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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. Timothy 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 |
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Timothy Baker, FNP-C
3369 Rosewood St,
Kingman, AZ 86401-2306
Ph: (928) 419-1140 | Timothy Baker, FNP-C
4995 Us Highway 68,
Golden Valley, AZ 86413-5500
Ph: (928) 681-8500 |
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