Patrick J C De Baca, MD is a
Surgery physician based in Clayton, New Mexico. Patrick J C De Baca is licensed to practice in Michigan (license number 4301044788) and his current practice location is 315 N 3rd Ave, Clayton, New Mexico. He can be reached at his office (for appointments etc.) via phone at
(575) 374-2273.
NPI number for Patrick J C De Baca is 1386658094 and his current mailing address is 315 N 3rd Ave, Clayton, New Mexico. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1386658094.
Physician's Profile
Full Name | Patrick J C De Baca |
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Gender | Male |
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Speciality | Surgery |
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Location | 315 N 3rd Ave, Clayton, New Mexico |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1386658094
- Provider Enumeration Date: 07/28/2006
- Last Update Date: 08/16/2010
Medical Identifiers
Medical identifiers for Patrick J C De Baca such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1386658094 | NPI | - | NPPES |
4879970 | Medicaid | MI | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208600000X | Surgery | 4301044788 (Michigan) | Primary |
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. Patrick J C De Baca is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Patrick J C De Baca, MD 315 N 3rd Ave, Clayton, NM 88415-3300 Ph: (575) 374-2273 | Patrick J C De Baca, MD 315 N 3rd Ave, Clayton, NM 88415-3300 Ph: (575) 374-2273 |
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