Dr Russell Barre Baker, is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" provider in Carrollton, Kentucky. His current practice location is
309 11th St, Carrollton, Kentucky. You can reach out to his office (for appointments etc.) via phone at
(502) 732-3280.
Dr Russell Barre Baker is licensed to practice in Kentucky (license number 247793) 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 1760043822.
Healthcare Provider's Profile
| Full Name | Dr Russell Barre Baker |
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| Gender | Male |
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| Speciality | Podiatrist - Foot & Ankle Surgery |
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| Location | 309 11th St, Carrollton, Kentucky |
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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: 1760043822
- Provider Enumeration Date: 06/27/2019
- Last Update Date: 04/08/2024
Medicare PECOS Information:
- PECOS PAC ID: 0244691921
- Enrollment ID: I20230727001418
Medical Identifiers
Medical identifiers for Dr Russell Barre Baker such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1760043822 | NPI | - | NPPES |
| 7100919580 | Medicaid | KY | |
| 300084017 | Medicaid | IN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 213E00000X | Podiatrist | 247793 (Kentucky) | Secondary |
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 247793 (Kentucky) | 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. Dr Russell Barre Baker allows following entities to bill medicare on his behalf.
| Provider Name | Ccmh Corporation |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1225159601
PECOS PAC ID: 2365540465
Enrollment ID: O20080108000723 |
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| Provider Name | University Of Louisville Physicians Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1366722316
PECOS PAC ID: 3476725599
Enrollment ID: O20111017000036 |
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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. Dr Russell Barre 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 |
|---|
Dr Russell Barre Baker,
Po Box 909,
Louisville, KY 40201-0909
Ph: (502) 588-0328 | Dr Russell Barre Baker,
309 11th St,
Carrollton, KY 41008-1435
Ph: (502) 732-3280 |
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