| Shelly D. Baker, Od, Pc | |
|
1252 W Lakeshore Dr, Manistique, MI 49854-1364 | |
| (906) 341-3933 | |
| (906) 341-3944 |
| Full Name | Shelly D. Baker, Od, Pc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 1252 W Lakeshore Dr, Manistique, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407032691 | NPI | - | NPPES |
| 9006765000 | Other | MI | BCBS OF MI |
| 4173092 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 4901003805 (Michigan) | Primary |
| Provider Name | Shelly D Baker |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1336256288 PECOS PAC ID: 4183629033 Enrollment ID: I20060927000200 |
| Mailing Address | Practice Location Address |
|---|---|
| Shelly D. Baker, Od, Pc 1252 W Lakeshore Dr, Manistique, MI 49854-1364 Ph: (906) 341-3933 | Shelly D. Baker, Od, Pc 1252 W Lakeshore Dr, Manistique, MI 49854-1364 Ph: (906) 341-3933 |
Dr. Shelly D Baker, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1252 W Lakeshore Dr, Manistique, MI 49854 Phone: 906-341-3933 Fax: 906-341-3944 | |
Michael Lyle Wilson Pc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 101 Walnut St, Manistique, MI 49854 Phone: 906-341-5689 Fax: 906-341-5723 | |
Michael L Wilson, Optometrist Medicare: Not Enrolled in Medicare Practice Location: 101 Walnut St, Manistique, MI 49854 Phone: 906-341-5689 Fax: 906-341-5723 |