Dr Jaqwiana Samia Baker, MD | |
106 Physicians Dr, Greer, SC 29650-2445 | |
(864) 797-9100 | |
(864) 241-9239 |
Full Name | Dr Jaqwiana Samia Baker |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 106 Physicians Dr, Greer, South Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255535852 | NPI | - | NPPES |
3851526791 | Other | MYUTMB 3851526791-COMMERCIAL NUMBER | |
MD87212 | Other | SC | MEDICAL LICENSE |
N4275 | Other | TX | MEDICAL LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | BP1-0026587 (Texas) | Secondary |
208000000X | Pediatrics | N4275 (Texas) | Secondary |
208000000X | Pediatrics | MD87212 (South Carolina) | Primary |
Entity Name | Prisma Health University Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295763217 PECOS PAC ID: 8325950983 Enrollment ID: O20031103000238 |
Mailing Address | Practice Location Address |
---|---|
Dr Jaqwiana Samia Baker, MD 300 E Mcbee Ave Fl 4, Greenville, SC 29601-2842 Ph: (864) 522-8603 | Dr Jaqwiana Samia Baker, MD 106 Physicians Dr, Greer, SC 29650-2445 Ph: (864) 797-9100 |
Bradley Sieckman, Pediatrics Medicare: Medicare Enrolled Practice Location: 106 Physicians Dr, Greer, SC 29650 Phone: 864-797-9100 Fax: 864-241-9239 | |
Michelle Rene Viglianco-vanpelt, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 325 Medical Pkwy, Suite 150, Greer, SC 29650 Phone: 864-797-9300 Fax: 864-849-9196 | |
Hajar Raissi-fard, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 111 Memorial Dr, Pediatric Center, Greer, SC 29650 Phone: 864-848-7005 Fax: 864-848-3666 | |
Dr. Edward H Hausladen, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 554 Memorial Drive Ext, Suite C, Greer, SC 29651 Phone: 864-879-3883 Fax: 864-848-3492 | |
James Raff, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 319 S Buncombe Rd, Greer, SC 29650 Phone: 864-877-3883 Fax: 864-284-0844 | |
Dr. James Bartlette Key, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 554 Memorial Drive Ext, Suite C, Greer, SC 29651 Phone: 864-879-3883 Fax: 864-848-3492 |