Lilli-anna Baca, is a medicare enrolled "Psychologist" provider in El Dorado, Arkansas. Her current practice location is
715 N College Ave, El Dorado, Arkansas. You can reach out to her office (for appointments etc.) via phone at
(870) 862-7921.
Lilli-anna Baca is licensed to practice in Arkansas (license number 202116) 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 1831589431.
Healthcare Provider's Profile
| Full Name | Lilli-anna Baca |
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| Gender | Female |
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| Speciality | Psychologist |
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| Location | 715 N College Ave, El Dorado, 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: 1831589431
- Provider Enumeration Date: 02/03/2015
- Last Update Date: 01/03/2023
Medicare PECOS Information:
- PECOS PAC ID: 3375916992
- Enrollment ID: I20230302000398
Medical Identifiers
Medical identifiers for Lilli-anna Baca such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1831589431 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Secondary |
| 103T00000X | Psychologist | 202116 (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. Lilli-anna Baca allows following entities to bill medicare on her behalf.
| Entity Name | South Arkansas Regional Health Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1467423384
PECOS PAC ID: 0941199988
Enrollment ID: O20040315001172 |
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| Entity Name | Total Life Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1053909267
PECOS PAC ID: 8123433034
Enrollment ID: O20221101003467 |
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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. Lilli-anna Baca 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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Lilli-anna Baca,
110 Skyline Dr,
Russellville, AR 72801-3362
Ph: (479) 968-1298 | Lilli-anna Baca,
715 N College Ave,
El Dorado, AR 71730-4403
Ph: (870) 862-7921 |
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