Ethelbert Jackson Baker, MD - Medicare Thoracic Surgery in Chillicothe, OH

Ethelbert Jackson Baker, MD is a medicare enrolled "Thoracic Surgery (cardiothoracic Vascular Surgery)" physician in Chillicothe, Ohio. He graduated from medical school in 1986 and has 38 years of diverse experience with area of expertise as Thoracic Surgery. He is a member of the group practice Lima Memorial Professional Corporation and his current practice location is 4439 State Route 159, Suite 130, Chillicothe, Ohio. You can reach out to his office (for appointments etc.) via phone at (740) 779-4360.

Ethelbert Jackson Baker is licensed to practice in Ohio (license number 35068644) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1417922758.

Contact Information

Ethelbert Jackson Baker, MD
4439 State Route 159, Suite 130,
Chillicothe, OH 45601-8207
(740) 779-4360
(740) 779-4369



Physician's Profile

Full NameEthelbert Jackson Baker
GenderMale
SpecialityThoracic Surgery
Experience38 Years
Location4439 State Route 159, Chillicothe, Ohio
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Ethelbert Jackson Baker graduated from medical school in 1986
  NPI Data:
  • NPI Number: 1417922758
  • Provider Enumeration Date: 02/21/2006
  • Last Update Date: 01/03/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 1254243371
  • Enrollment ID: I20050405000014

Medical Identifiers

Medical identifiers for Ethelbert Jackson Baker such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1417922758NPI-NPPES
0159260MedicaidOH

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208G00000XThoracic Surgery (cardiothoracic Vascular Surgery) K9019 (Texas)Secondary
208G00000XThoracic Surgery (cardiothoracic Vascular Surgery) 35068644 (Ohio)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Lima Memorial Health SystemLima, OHHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Lima Memorial Professional Corporation1254232184135

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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. Ethelbert Jackson Baker allows following entities to bill medicare on his behalf.
Entity NameLima Memorial Professional Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457474900
PECOS PAC ID: 1254232184
Enrollment ID: O20040115000131

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Entity NameMount Carmel Health Providers Two Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134154750
PECOS PAC ID: 6608828447
Enrollment ID: O20050325000023

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Entity NameAdena Medical Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235468083
PECOS PAC ID: 1153456579
Enrollment ID: O20100323001007

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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. Ethelbert Jackson 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 AddressPractice Location Address
Ethelbert Jackson Baker, MD
272 Hospital Rd Ste 6,
Chillicothe, OH 45601-9031

Ph: (740) 779-4222
Ethelbert Jackson Baker, MD
4439 State Route 159, Suite 130,
Chillicothe, OH 45601-8207

Ph: (740) 779-4360

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Thoracic Surgery (Cardiothoracic Vascular Surgery) Doctors in Chillicothe, OH

Randall L Miller, MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Medicare: Medicare Enrolled
Practice Location: 4439 State Route 159, Suite 130, Chillicothe, OH 45601
Phone: 740-779-4360    Fax: 740-779-4369

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