Dr Jonathan Glenn Baker, MD is a medicare enrolled "Dermatology" physician in Jackson, Wyoming. He went to University Of Missouri, Columbia School Of Medicine and graduated in 1994 and has 30 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice Teton Dermatology Inc and his current practice location is
984 West Broadway, Suite 4, Jackson, Wyoming. You can reach out to his office (for appointments etc.) via phone at
(307) 734-1800.
Dr Jonathan Glenn Baker is licensed to practice in Wyoming (license number 8097A) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1447233754.
Physician's Profile
| Full Name | Dr Jonathan Glenn Baker |
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| Gender | Male |
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| Speciality | Dermatology |
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| Experience | 30 Years |
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| Location | 984 West Broadway, Jackson, Wyoming |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Jonathan Glenn Baker attended and graduated from University Of Missouri, Columbia School Of Medicine in 1994
NPI Data:
- NPI Number: 1447233754
- Provider Enumeration Date: 11/22/2005
- Last Update Date: 08/04/2014
Medicare PECOS Information:
- PECOS PAC ID: 7315955424
- Enrollment ID: I20100909000965
Medical Identifiers
Medical identifiers for Dr Jonathan Glenn Baker such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1447233754 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207N00000X | Dermatology | 8097A (Wyoming) | Primary |
| 207N00000X | Dermatology | A55560 (California) | Secondary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Teton Dermatology Inc | 0042335333 | 6 |
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 Jonathan Glenn Baker allows following entities to bill medicare on his behalf.
| Entity Name | Teton Dermatology Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1194044750
PECOS PAC ID: 0042335333
Enrollment ID: O20100909000829 |
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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. Dr Jonathan Glenn 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 |
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Dr Jonathan Glenn Baker, MD
Po Box 14510,
Jackson, WY 83002-4510
Ph: (307) 734-1800 | Dr Jonathan Glenn Baker, MD
984 West Broadway, Suite 4,
Jackson, WY 83001-0000
Ph: (307) 734-1800 |
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