Toni Anne Baca, FNP | |
70 Bower Dr, Medford, OR 97501-3689 | |
(541) 734-3430 | |
Not Available |
Full Name | Toni Anne Baca |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 7 Years |
Location | 70 Bower Dr, Medford, Oregon |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1780162032 | NPI | - | NPPES |
500759907 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 209.017695 (Illinois) | Secondary |
363LF0000X | Nurse Practitioner - Family | 201806197NP-PP (Oregon) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Providence Medford Medical Center | Medford, OR | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Providence Health And Services Oregon | 5294623245 | 152 |
Entity Name | Providence Health & Services Oregon |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568547503 PECOS PAC ID: 5294623245 Enrollment ID: O20040310000315 |
Mailing Address | Practice Location Address |
---|---|
Toni Anne Baca, FNP Po Box 3158, Portland, OR 97208-3158 Ph: (541) 734-3430 | Toni Anne Baca, FNP 70 Bower Dr, Medford, OR 97501-3689 Ph: (541) 734-3430 |
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