Shaquenna Baker, is a medicare enrolled "Contractor" provider in Sparta, Georgia. Her current practice location is
113 Chipper Ln, Sparta, Georgia. You can reach out to her office (for appointments etc.) via phone at
(478) 251-3745.
Shaquenna Baker is licensed to practice in * (Not Available) (license number ) 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 1285248633.
Healthcare Provider's Profile
| Full Name | Shaquenna Baker |
|---|
| Gender | Female |
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| Speciality | Contractor |
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| Location | 113 Chipper Ln, Sparta, Georgia |
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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: 1285248633
- Provider Enumeration Date: 09/03/2020
- Last Update Date: 09/03/2020
Medicare PECOS Information:
- PECOS PAC ID: 1759825441
- Enrollment ID: I20240705001760
Medical Identifiers
Medical identifiers for Shaquenna Baker such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1285248633 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 103TB0200X | Psychologist - Cognitive & Behavioral | (* (Not Available)) | Secondary |
| 103TC1900X | Psychologist - Counseling | (* (Not Available)) | Secondary |
| 103TP0814X | Psychologist - Psychoanalysis | (* (Not Available)) | Secondary |
| 103TP2701X | Psychologist - Group Psychotherapy | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 171W00000X | Contractor | (* (Not Available)) | 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. Shaquenna Baker allows following entities to bill medicare on her behalf.
| 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: O20220315000829 |
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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. Shaquenna 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 |
|---|
Shaquenna Baker,
113 Chipper Ln,
Sparta, GA 31087-2215
Ph: (478) 251-3745 | Shaquenna Baker,
113 Chipper Ln,
Sparta, GA 31087-2215
Ph: (478) 251-3745 |
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