Shelly D. Baker, Od, Pc | |
1252 W Lakeshore Dr, Manistique, MI 49854-1364 | |
(906) 341-3933 | |
(906) 341-3944 |
Full Name | Shelly D. Baker, Od, Pc |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 1252 W Lakeshore Dr, Manistique, Michigan |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1407032691 | NPI | - | NPPES |
9006765000 | Other | MI | BCBS OF MI |
4173092 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 4901003805 (Michigan) | Primary |
Provider Name | Shelly D Baker |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1336256288 PECOS PAC ID: 4183629033 Enrollment ID: I20060927000200 |
Mailing Address | Practice Location Address |
---|---|
Shelly D. Baker, Od, Pc 1252 W Lakeshore Dr, Manistique, MI 49854-1364 Ph: (906) 341-3933 | Shelly D. Baker, Od, Pc 1252 W Lakeshore Dr, Manistique, MI 49854-1364 Ph: (906) 341-3933 |
Dr. Shelly D Baker, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1252 W Lakeshore Dr, Manistique, MI 49854 Phone: 906-341-3933 Fax: 906-341-3944 | |
Michael Lyle Wilson Pc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 101 Walnut St, Manistique, MI 49854 Phone: 906-341-5689 Fax: 906-341-5723 |