Ethelbert Jackson Baker, MD is a medicare enrolled "Thoracic Surgery (cardiothoracic Vascular Surgery)" physician in Chillicothe, Ohio. He graduated from medical school in 1986 and has 38 years of diverse experience with area of expertise as Thoracic Surgery. He is a member of the group practice Lima Memorial Professional Corporation and his current practice location is
4439 State Route 159, Suite 130, Chillicothe, Ohio. You can reach out to his office (for appointments etc.) via phone at
(740) 779-4360.
Ethelbert Jackson Baker is licensed to practice in Ohio (license number 35068644) 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 1417922758.
Physician's Profile
| Full Name | Ethelbert Jackson Baker |
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| Gender | Male |
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| Speciality | Thoracic Surgery |
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| Experience | 38 Years |
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| Location | 4439 State Route 159, Chillicothe, Ohio |
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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:
- Ethelbert Jackson Baker graduated from medical school in 1986
NPI Data:
- NPI Number: 1417922758
- Provider Enumeration Date: 02/21/2006
- Last Update Date: 01/03/2023
Medicare PECOS Information:
- PECOS PAC ID: 1254243371
- Enrollment ID: I20050405000014
Medical Identifiers
Medical identifiers for Ethelbert Jackson Baker such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1417922758 | NPI | - | NPPES |
| 0159260 | Medicaid | OH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | K9019 (Texas) | Secondary |
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 35068644 (Ohio) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Lima Memorial Professional Corporation | 1254232184 | 158 |
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. Ethelbert Jackson Baker allows following entities to bill medicare on his behalf.
| Entity Name | Lima Memorial Professional Corporation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1457474900
PECOS PAC ID: 1254232184
Enrollment ID: O20040115000131 |
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| Entity Name | Mount Carmel Health Providers Two Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1134154750
PECOS PAC ID: 6608828447
Enrollment ID: O20050325000023 |
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| Entity Name | Adena Medical Group Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1235468083
PECOS PAC ID: 1153456579
Enrollment ID: O20100323001007 |
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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. Ethelbert Jackson 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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Ethelbert Jackson Baker, MD
272 Hospital Rd Ste 6,
Chillicothe, OH 45601-9031
Ph: (740) 779-4222 | Ethelbert Jackson Baker, MD
4439 State Route 159, Suite 130,
Chillicothe, OH 45601-8207
Ph: (740) 779-4360 |
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