Robert Ellis Baker, DO is a medicare enrolled "Ophthalmology" physician in Broken Arrow, Oklahoma. His current practice location is
111 W Broadway Ave, Broken Arrow, Oklahoma. You can reach out to his office (for appointments etc.) via phone at
(918) 258-5656.
Robert Ellis Baker is licensed to practice in Oklahoma (license number 1591) 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 1851369201.
Physician's Profile
| Full Name | Robert Ellis Baker |
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| Gender | Male |
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| Speciality | Ophthalmology |
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| Location | 111 W Broadway Ave, Broken Arrow, Oklahoma |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1851369201
- Provider Enumeration Date: 03/10/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 7416115274
- Enrollment ID: I20120224000275
Medical Identifiers
Medical identifiers for Robert Ellis Baker such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1851369201 | NPI | - | NPPES |
| 100087290A | Medicaid | OK | |
| 100087290C | Medicaid | OK | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207W00000X | Ophthalmology | 1591 (Oklahoma) | 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. Robert Ellis 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 |
|---|
Robert Ellis Baker, DO
111 W Broadway Ave,
Broken Arrow, OK 74012-3814
Ph: (918) 258-5656 | Robert Ellis Baker, DO
111 W Broadway Ave,
Broken Arrow, OK 74012-3814
Ph: (918) 258-5656 |
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