Shukairo M Baker, APRN, PMHNP-BC, LCSW is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" provider in Raleigh, North Carolina. Her current practice location is
555 Fayetteville St Ste 201, Raleigh, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(704) 689-0390.
Shukairo M Baker is licensed to practice in North Carolina (license number 5020242) 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 1659666444.
Healthcare Provider's Profile
Full Name | Shukairo M Baker |
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Gender | Female |
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Speciality | Nurse Practitioner - Psychiatric/mental Health |
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Location | 555 Fayetteville St Ste 201, Raleigh, North Carolina |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1659666444
- Provider Enumeration Date: 06/09/2011
- Last Update Date: 10/31/2024
Medicare PECOS Information:
- PECOS PAC ID: 8921241522
- Enrollment ID: I20130829000692
Medical Identifiers
Medical identifiers for Shukairo M Baker such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1659666444 | NPI | - | NPPES |
1659666444 | Medicaid | NC | |
SW1253 | Medicaid | SC | |
Q554550281 | Other | SC | PTAN |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | C008389 (North Carolina) | Secondary |
101YA0400X | Counselor - Addiction (substance Use Disorder) | C008389 (North Carolina) | Secondary |
1041C0700X | Social Worker - Clinical | 11094 (South Carolina) | Secondary |
163W00000X | Registered Nurse | 268707 (South Carolina) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 13998789-4405 (Utah) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 13998789-8900 (Utah) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 5020242 (North Carolina) | 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. Shukairo M Baker allows following entities to bill medicare on her behalf.
Entity Name | Monarch |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1801116405 PECOS PAC ID: 0244273852 Enrollment ID: O20050728000103 |
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Entity Name | Eleanor Health Professional Nc Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1891349155 PECOS PAC ID: 5799017943 Enrollment ID: O20191022000310 |
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Entity Name | Theoria Medical |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1609362375 PECOS PAC ID: 5395098339 Enrollment ID: O20210429000604 |
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Entity Name | Grow Healthcare Group Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20221208000188 |
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Entity Name | Rhodium Care Group Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1699534537 PECOS PAC ID: 1052750569 Enrollment ID: O20240417001217 |
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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. Shukairo M 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 |
Shukairo M Baker, APRN, PMHNP-BC, LCSW 9711 David Taylor Dr Ste 202, Charlotte, NC 28262-2366 Ph: (704) 286-8446 | Shukairo M Baker, APRN, PMHNP-BC, LCSW 555 Fayetteville St Ste 201, Raleigh, NC 27601-3034 Ph: (704) 689-0390 |
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