Clairalyn Lois Baucom, MD | |
Kadena Pediatric Clinic, 18mdg / Sghq Unit 5142, Apo, AP 96367-5142 | |
(315) 630-4542 | |
Not Available |
Full Name | Clairalyn Lois Baucom |
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Gender | Female |
Speciality | General Practice |
Location | Kadena Pediatric Clinic, Apo, Armed Forces Pacific |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1760569339 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208D00000X | General Practice | 0101240222 (Virginia) | Primary |
Entity Name | Commonwealth Healthcare Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285858290 PECOS PAC ID: 7719075167 Enrollment ID: O20071212000093 |
Mailing Address | Practice Location Address |
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Clairalyn Lois Baucom, MD 18mdos, Psc 80 Box 15477, Apo, AP 96367-5142 Ph: (315) 630-4542 | Clairalyn Lois Baucom, MD Kadena Pediatric Clinic, 18mdg / Sghq Unit 5142, Apo, AP 96367-5142 Ph: (315) 630-4542 |
Sarah Mcdonald, MD General Practice Medicare: Not Enrolled in Medicare Practice Location: 18th Medical Group, Unit 5142, Apo, AP 96368 Phone: 445-630-4089 | |
Jonathan Hajduk, DO General Practice Medicare: Medicare Enrolled Practice Location: Psc 2, Apo, AP 96264 Phone: 315-782-8035 | |
Francesann Hill, M.D. General Practice Medicare: Not Enrolled in Medicare Practice Location: 3214 East Santiago Avenue, Apo, AP 99703 Phone: 907-353-2497 | |
Dr. Kevin Michael Cron, MD, MPH General Practice Medicare: Not Enrolled in Medicare Practice Location: Brian D Allgood Army Community Hospital, Bldg 3030, Apo, AP 96271 Phone: 315-737-1731 | |
Ms. Maryrose Delgallego Chuidian, DO General Practice Medicare: Medicare Enrolled Practice Location: 18th Medical Group, Unit 5142, Apo, AP 96368 Phone: 315-630-4780 | |
Justin Elan Palm, DO General Practice Medicare: Not Enrolled in Medicare Practice Location: Misawa Air Base 35th Mdg Flight, Building 99, Unit 5024, Apo, AP 96319 Phone: 017-677-6133 | |
Dr. Daniel Gennadievich Khokhorin, DO General Practice Medicare: Medicare Enrolled Practice Location: 18th Medical Group, Unit 5142, Apo, AP 96368 Phone: 907-551-4006 |