Dr John H Baker, MD - Medicare Pediatrics in Plano, TX

Dr John H Baker, MD is a medicare enrolled "Pediatrics - Pediatric Gastroenterology" physician in Plano, Texas. His current practice location is 6300 W Parker Rd, Suite 428, Plano, Texas. You can reach out to his office (for appointments etc.) via phone at (972) 394-5757.

Dr John H Baker is licensed to practice in Texas (license number H4148) 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 1245299106.

Contact Information

Dr John H Baker, MD
6300 W Parker Rd, Suite 428,
Plano, TX 75093-8100
(972) 394-5757
(972) 394-9577

Map and Direction




Physician's Profile

Full NameDr John H Baker
GenderMale
SpecialityPediatrics - Pediatric Gastroenterology
Location6300 W Parker Rd, Plano, Texas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1245299106
  • Provider Enumeration Date: 03/20/2006
  • Last Update Date: 09/23/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 2860516838
  • Enrollment ID: I20100826001211

Medical Identifiers

Medical identifiers for Dr John H Baker such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1245299106NPI-NPPES
81500KOtherTXBCBSTX

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2080P0206XPediatrics - Pediatric Gastroenterology H4148 (Texas)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. Dr John H Baker allows following entities to bill medicare on his behalf.
Entity NameDigestive Health Associates Of Texas Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831158310
PECOS PAC ID: 2769372150
Enrollment ID: O20040318001014
Entity NameTexas Digestive Disease Consultants Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053397331
PECOS PAC ID: 3375531379
Enrollment ID: O20040505001844

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. Dr John H 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 AddressPractice Location Address
Dr John H Baker, MD
7610 N Stemmons Fwy Ste 600,
Dallas, TX 75247-4228

Ph: (214) 689-5960
Dr John H Baker, MD
6300 W Parker Rd, Suite 428,
Plano, TX 75093-8100

Ph: (972) 394-5757

Reviews and Comments


Pediatrics Doctors in Plano, TX

Dr. Elizabeth Y Leon, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 6300 W Parker Rd, Suite 426, Plano, TX 75093
Phone: 972-608-0774    Fax: 972-608-0595
Natasha Patel, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 7601 Preston Rd, Plano, TX 75024
Phone: 214-456-9250    
Michael J Frank, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 5940 Communications Pkwy, Plano, TX 75093
Phone: 972-403-9355    Fax: 972-403-1287
Susan J. Sickler, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 5940 Communications Pkwy, Plano, TX 75093
Phone: 972-403-9355    Fax: 972-403-1287
Dr. Renesha Christine Butler, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 7601 Preston Rd, Plano, TX 75024
Phone: 214-456-9250    Fax: 214-456-1240
Dr. Michael Anthony Russo, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 7000 W Plano Pkwy Ste 110, Plano, TX 75093
Phone: 972-306-3767    Fax: 972-566-8839
Dr. Ryan Mcelroy, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 6200 W Parker Rd, Suite 410, Plano, TX 75093
Phone: 972-981-8380    Fax: 972-981-8463

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.