Ebony Baker, NP is a medicare enrolled "Nurse Practitioner - Family" provider in West Memphis, Arkansas. Her current practice location is
900 N 7th St, West Memphis, Arkansas. You can reach out to her office (for appointments etc.) via phone at
(870) 735-3842.
Ebony Baker is licensed to practice in Arkansas (license number A005116) 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 1427447564.
Healthcare Provider's Profile
| Full Name | Ebony Baker |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 900 N 7th St, West Memphis, Arkansas |
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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: 1427447564
- Provider Enumeration Date: 01/13/2015
- Last Update Date: 10/03/2024
Medicare PECOS Information:
- PECOS PAC ID: 7810264132
- Enrollment ID: I20170517000265
Medical Identifiers
Medical identifiers for Ebony Baker such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1427447564 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | A005116 (Arkansas) | 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. Ebony Baker allows following entities to bill medicare on her behalf.
| Entity Name | East Arkansas Family Health Center, Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1922139062
PECOS PAC ID: 1052390390
Enrollment ID: O20080614000123 |
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| Entity Name | East Arkansas Family Health Center, Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1578889622
PECOS PAC ID: 1052390390
Enrollment ID: O20110503000659 |
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| Entity Name | Signify Health Medical Associates Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1750845863
PECOS PAC ID: 2163764424
Enrollment ID: O20190913002365 |
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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. Ebony 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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Ebony Baker, NP
900 N 7th St,
West Memphis, AR 72301-2001
Ph: (870) 735-3842 | Ebony Baker, NP
900 N 7th St,
West Memphis, AR 72301-2001
Ph: (870) 735-3842 |
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