Leaanna Baker, AUD is a medicare enrolled "Audiologist" provider in Fruitland, Idaho. Her current practice location is
1210 Nw 16th St, Fruitland, Idaho. You can reach out to her office (for appointments etc.) via phone at
(208) 452-8700.
Leaanna Baker is licensed to practice in Oregon (license number 31034) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1851039184.
Healthcare Provider's Profile
| Full Name | Leaanna Baker |
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| Gender | Female |
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| Speciality | Audiologist |
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| Location | 1210 Nw 16th St, Fruitland, Idaho |
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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: 1851039184
- Provider Enumeration Date: 05/25/2022
- Last Update Date: 08/23/2022
Medicare PECOS Information:
- PECOS PAC ID: 9234513177
- Enrollment ID: I20220826001471
Medical Identifiers
Medical identifiers for Leaanna Baker such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1851039184 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 231H00000X | Audiologist | AUD-5414 (Idaho) | Secondary |
| 231H00000X | Audiologist | 31034 (Oregon) | 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. Leaanna Baker allows following entities to bill medicare on her behalf.
| Provider Name | St Lukes Clinic-treasure Valley Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1326336058
PECOS PAC ID: 4981878402
Enrollment ID: O20111119000045 |
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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. Leaanna 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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Leaanna Baker, AUD
190 E Bannock St,
Boise, ID 83712-6241
Ph: () - | Leaanna Baker, AUD
1210 Nw 16th St,
Fruitland, ID 83619-2202
Ph: (208) 452-8700 |
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