Antwan Lajunne Baker, AGACNP-BC is a medicare enrolled "Clinical Nurse Specialist - Acute Care" in Jesup, Georgia. His current practice location is
865 S 1st St, Jesup, Georgia. You can reach out to his office (for appointments etc.) via phone at
(912) 427-6811.
Antwan Lajunne Baker is licensed to practice in Georgia (license number NCO-000003) 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 1295378313.
Provider's Profile
| Full Name | Antwan Lajunne Baker |
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| Gender | Male |
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| Speciality | Clinical Nurse Specialist - Acute Care |
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| Location | 865 S 1st St, Jesup, Georgia |
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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: 1295378313
- Provider Enumeration Date: 10/21/2019
- Last Update Date: 10/21/2019
Medicare PECOS Information:
- PECOS PAC ID: 9335569847
- Enrollment ID: I20201022002389
Medical Identifiers
Medical identifiers for Antwan Lajunne Baker such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1295378313 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 364SA2100X | Clinical Nurse Specialist - Acute Care | NCO-000003 (Georgia) | Primary |
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. Antwan Lajunne Baker allows following entities to bill medicare on his behalf.
| Entity Name | Houston Hospitalist Group Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1962040147
PECOS PAC ID: 2769813906
Enrollment ID: O20200504000786 |
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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. Antwan Lajunne 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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Antwan Lajunne Baker, AGACNP-BC
278 Amy Clegg Dr,
Gray, GA 31032-4747
Ph: (478) 960-7232 | Antwan Lajunne Baker, AGACNP-BC
865 S 1st St,
Jesup, GA 31545-0210
Ph: (912) 427-6811 |
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