Dr Ralph Miramontes Baca, MD - Medicare Emergency Medicine in Tarzana, CA

Dr Ralph Miramontes Baca, MD is a medicare enrolled "Emergency Medicine" physician in Tarzana, California. His current practice location is 18321 Clark St, Tarzana, California. You can reach out to his office (for appointments etc.) via phone at (818) 708-5170.

Dr Ralph Miramontes Baca is licensed to practice in California (license number G69780) 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 1538102082.

Contact Information

Dr Ralph Miramontes Baca, MD
18321 Clark St,
Tarzana, CA 91356-3501
(818) 708-5170
(818) 705-2595



Physician's Profile

Full NameDr Ralph Miramontes Baca
GenderMale
SpecialityEmergency Medicine
Location18321 Clark St, Tarzana, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1538102082
  • Provider Enumeration Date: 06/13/2006
  • Last Update Date: 06/16/2008
  Medicare PECOS Information:
  • PECOS PAC ID: 2961302195
  • Enrollment ID: I20040114000566

Medical Identifiers

Medical identifiers for Dr Ralph Miramontes Baca such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1538102082NPI-NPPES
00G697800MedicaidCA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine G69780 (California)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. Dr Ralph Miramontes Baca allows following entities to bill medicare on his behalf.
Entity NameTarzana Emergency Medical Associates
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235176702
PECOS PAC ID: 7113823014
Enrollment ID: O20040708001387

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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. Dr Ralph Miramontes Baca 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 AddressPractice Location Address
Dr Ralph Miramontes Baca, MD
Po Box 660640,
Arcadia, CA 91066-0640

Ph: (626) 447-0296
Dr Ralph Miramontes Baca, MD
18321 Clark St,
Tarzana, CA 91356-3501

Ph: (818) 708-5170

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Emergency Medicine Doctors in Tarzana, CA

Dr. Jonathan Andrew Prince, M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 18321 Clark St, Tarzana, CA 91356
Phone: 818-708-5170    Fax: 818-705-2595
Dr. Neil Eric Canby, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 18321 Clark St, Tarzana, CA 91356
Phone: 818-708-5170    Fax: 818-705-2595
Dr. Frederick Theodore Dennis, M.D.
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 18321 Clark St, Tarzana, CA 91356
Phone: 818-708-5170    Fax: 818-705-2595
Dr. Eric Wynne Snyder, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 18321 Clark St, Tarzana, CA 91356
Phone: 818-708-5172    
Dr. Tracy Norman Lawrence, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 18321 Clark St, Tarzana, CA 91356
Phone: 818-708-5170    Fax: 818-705-2595
Dr. Anthony Charles Hernandez, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 18321 Clark St, Tarzana, CA 91356
Phone: 818-708-5170    Fax: 818-705-2595
Dr. Chris Y Wang, M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 18321 Clark St, Providence Tarzana Medical Center, Tarzana, CA 91356
Phone: 818-708-5172    

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