Jon Todd Baughman, PAC is a medicare enrolled "Physician Assistant" in Sutton, Alaska. His current practice location is
11495 Callison Street, Life House Community Health Center, Sutton, Alaska. You can reach out to his office (for appointments etc.) via phone at
(907) 631-7665.
Jon Todd Baughman is licensed to practice in New Mexico (license number PA20020040) 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 1275629339.
Provider's Profile
| Full Name | Jon Todd Baughman |
|---|
| Gender | Male |
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| Speciality | Physician Assistant |
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| Location | 11495 Callison Street, Sutton, Alaska |
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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: 1275629339
- Provider Enumeration Date: 10/05/2006
- Last Update Date: 03/03/2016
Medicare PECOS Information:
- PECOS PAC ID: 4486682333
- Enrollment ID: I20050801001103
Medical Identifiers
Medical identifiers for Jon Todd Baughman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1275629339 | NPI | - | NPPES |
| 442226 | Medicaid | AZ | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | PA20020040 (New Mexico) | 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. Jon Todd Baughman 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 |
|---|
Jon Todd Baughman, PAC
Po Box 4363, 870 Heron Drive,
Page, AZ 86040-4363
Ph: (928) 660-1337 | Jon Todd Baughman, PAC
11495 Callison Street, Life House Community Health Center,
Sutton, AK 99674-0000
Ph: (907) 631-7665 |
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