Angie Pruitt Baker, OD in Fort Riley, KS - Medicare Optometrist Provider

Angie Pruitt Baker, OD is a medicare enrolled "Optometrist" provider in Fort Riley, Kansas. Her current practice location is 8072 Normandy Dr, Fort Riley, Kansas. You can reach out to her office (for appointments etc.) via phone at (785) 240-5516.

Angie Pruitt Baker is licensed to practice in Oklahoma (license number 2466) 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 1679561542.

Contact Information

	Angie Pruitt Baker, OD
	8072 Normandy Dr, Fort Riley, KS 66442-7069
	(785) 240-5516
	(785) 239-4065

Healthcare Provider's Profile

Full Name	Angie Pruitt Baker
Gender	Female
Speciality	Optometrist
Location	8072 Normandy Dr, Fort Riley, Kansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1679561542
Provider Enumeration Date: 10/13/2005
Last Update Date: 02/11/2021

Medicare PECOS Information:

PECOS PAC ID: 6709105141
Enrollment ID: I20150506000526

Medical Identifiers

Medical identifiers for Angie Pruitt Baker such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1679561542	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	2466 (Oklahoma)	Primary

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. Angie Pruitt 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
Angie Pruitt Baker, OD 1509 Little Kitten Ave, Manhattan, KS 66503-7578 Ph: (785) 313-2796	Angie Pruitt Baker, OD 8072 Normandy Dr, Fort Riley, KS 66442-7069 Ph: (785) 240-5516

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Optometrist in Fort Riley, KS

Mrs. Annie Marie Mosier Eslit, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 650 Huebner Rd, Fort Riley, KS 66442 Phone: 785-240-7335 Fax: 785-240-8341
Karli Ann Boober, Optometrist Medicare: Not Enrolled in Medicare Practice Location: 650 Huebner Rd, Fort Riley, KS 66442 Phone: 785-239-3627
Mr. Jared Joseph Lampe, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 600 Caisson Hill Rd, Fort Riley, KS 66442 Phone: 785-240-7678
Dr. Russell W Hart, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 8072 Normandy Dr, Fort Riley, KS 66442 Phone: 785-240-5516 Fax: 785-239-4065
Song Anthimus Park, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 650 Huebner Rd, Fort Riley, KS 66442 Phone: 785-239-7151

Angie Pruitt Baker, OD - Medicare Optometrist in Fort Riley, KS