Mary Suzanne Baker, in Tyler, TX - Medicare Psychologist Provider

Mary Suzanne Baker, is a medicare enrolled "Psychologist - Clinical" provider in Tyler, Texas. Her current practice location is 1100 E Lake St, Tyler, Texas. You can reach out to her office (for appointments etc.) via phone at (817) 734-4920.

Mary Suzanne Baker is licensed to practice in Texas (license number 39098) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1275269037.

Contact Information

	Mary Suzanne Baker,
	1100 E Lake St, Tyler, TX 75701-3343
	(817) 734-4920
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mary Suzanne Baker
Gender	Female
Speciality	Psychologist - Clinical
Location	1100 E Lake St, Tyler, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1275269037
Provider Enumeration Date: 07/25/2022
Last Update Date: 07/25/2022

Medicare PECOS Information:

PECOS PAC ID: 2567847411
Enrollment ID: I20220914000718

Medical Identifiers

Medical identifiers for Mary Suzanne Baker such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1275269037	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	39098 (Texas)	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. Mary Suzanne Baker allows following entities to bill medicare on her behalf.

Entity Name	University Of Texas Health Science Center At Tyler-facility-physician
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063400778 PECOS PAC ID: 4981699220 Enrollment ID: O20040416001048

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. Mary Suzanne 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
Mary Suzanne Baker, 11937 Us Highway 271, Tyler, TX 75708-3154 Ph: () -	Mary Suzanne Baker, 1100 E Lake St, Tyler, TX 75701-3343 Ph: (817) 734-4920

Reviews and Comments

Psychologist in Tyler, TX

Sherry Marasse, MA, LPC Psychologist Medicare: Medicare Enrolled Practice Location: 12863 Old Noonday Rd, Tyler, TX 75703 Phone: 903-941-2780
Alisa Goodman, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2323 W Front St, Tyler, TX 75702 Phone: 903-597-1351 Fax: 903-535-7386
Cassandra Jo Rasmussen, PSYD Psychologist Medicare: Medicare Enrolled Practice Location: 11937 Us Highway 271, Tyler, TX 75708 Phone: 903-877-7200
Dr. Charles T Fries, EDD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 3800 Paluxy Dr, Suite 440, Tyler, TX 75703 Phone: 903-526-5550 Fax: 903-526-5551
Dr. Stephen C Westmoreland, ED. D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1810 Shiloh Rd, Suite 801, Tyler, TX 75703 Phone: 903-593-8395 Fax: 908-581-8679
Sandra Harper, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 2010 Sybil Ln Ste 100, Tyler, TX 75703 Phone: 903-596-8118 Fax: 903-596-8125
Dr. Kiley Anne Schneider, PSYD Psychologist Medicare: Medicare Enrolled Practice Location: 11937 Us Highway 271, Tyler, TX 75708 Phone: 902-877-8272

Mary Suzanne Baker, - Medicare Psychologist in Tyler, TX