Gary Lee Baker, LISW is a medicare enrolled "Social Worker - Clinical" provider in Mentor, Ohio. His current practice location is
7232 Justin Way, Mentor, Ohio. You can reach out to his office (for appointments etc.) via phone at
(440) 578-8200.
Gary Lee Baker is licensed to practice in Ohio (license number I.2002236-SUPV) 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 1164905709.
Healthcare Provider's Profile
| Full Name | Gary Lee Baker |
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| Gender | Male |
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| Speciality | Social Worker - Clinical |
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| Location | 7232 Justin Way, Mentor, Ohio |
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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: 1164905709
- Provider Enumeration Date: 09/10/2018
- Last Update Date: 10/15/2021
Medicare PECOS Information:
- PECOS PAC ID: 1052653599
- Enrollment ID: I20190502000069
Medical Identifiers
Medical identifiers for Gary Lee Baker such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1164905709 | NPI | - | NPPES |
| 0432444 | Medicaid | OH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YP2500X | Counselor - Professional | 0701003834 (Virginia) | Secondary |
| 1041C0700X | Social Worker - Clinical | I.2002236-SUPV (Ohio) | 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. Gary Lee Baker allows following entities to bill medicare on his behalf.
| Entity Name | Hampton Roads Counseling Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1396398483
PECOS PAC ID: 2163753575
Enrollment ID: O20191016002987 |
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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. Gary Lee 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 |
|---|
Gary Lee Baker, LISW
7232 Justin Way,
Mentor, OH 44060-4881
Ph: (440) 578-8200 | Gary Lee Baker, LISW
7232 Justin Way,
Mentor, OH 44060-4881
Ph: (440) 578-8200 |
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