Dr Kenneth C Baker, MD | |
600 N Park St, Brenham, TX 77833 | |
(979) 836-6153 | |
Not Available |
Full Name | Dr Kenneth C Baker |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 600 N Park St, Brenham, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1619970720 | NPI | - | NPPES |
100655303 | Medicaid | TX | |
101821 | Other | TX | SUPERIOR CHIPS |
4535342 | Other | TX | AETNA |
10008791 | Other | TX | AMERIGROUP |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | F3730 (Texas) | Primary |
Entity Name | Regional Employee Assistance Program Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649232984 PECOS PAC ID: 1557260064 Enrollment ID: O20040612000731 |
Mailing Address | Practice Location Address |
---|---|
Dr Kenneth C Baker, MD Po Box 844658, Dallas, TX 75284-4658 Ph: (800) 994-0371 | Dr Kenneth C Baker, MD 600 N Park St, Brenham, TX 77833 Ph: (979) 836-6153 |
Dr. Michelle Thomas, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 600 N Park St, Brenham, TX 77833 Phone: 979-337-5800 | |
Dr. Cassandra M Bryant, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 600 N Park St, Brenham, TX 77833 Phone: 979-836-6153 | |
Dr. Derek Lane Husmann, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 600 N Park St, Brenham, TX 77833 Phone: 979-836-6153 | |
Washington Andres Marin Castro, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 600 N Park St, Brenham, TX 77833 Phone: 979-337-5816 Fax: 979-337-5810 | |
Dr. Donald Kenneth Draehn, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 600 North Park St, Brenham, TX 77833 Phone: 979-836-6153 | |
Jennifer L Jones, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 600 N Park St, Brenham, TX 77833 Phone: 797-836-6153 |