Dr. Carissa Marrie Baker-smith

M.D. | Pediatric Cardiology | Female

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Complete Profile:

Dr. Carissa Marrie Baker-smith basic information including her official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Pediatric Cardiology
Provider Name :	Dr. Carissa Marrie Baker-smith
Credential :	M.D.
Gender :	Female

Business Address:

Dr. Carissa Marrie Baker-smith address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	1600 Rockland Rd Wilmington, DE, 19803-3607 United States
Phone Number :	302-651-4200

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1508031121
NPI Entity Type :	Individual
First Enrolment Date :	24 Apr, 2008
Last Updated On :	06 Feb, 2020

Medicare Participation:

Dr. Carissa Marrie Baker-smith participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	1658566963
Medicare Enrollment ID :	I20200221002234
Primary Specialty :	Cardiovascular Disease (cardiology)
Medical School :	Perelman School Of Med At The University Of Pennsylvania
Graduation Year :	2003
Accepts Medicare?	Yes. Dr. Carissa Marrie Baker-smith accepts medicare insurance.

Group Practice Association:

Dr. Carissa Marrie Baker-smith is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Dr. Carissa Marrie Baker-smith is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
The Nemours Foundation	9537072483	135	1600 Rockland Rd Wilmington, DE - 198033607 Ph: 3026514200	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Carissa Marrie Baker-smith are as mentioned. Primary taxonomy code for Dr. Carissa Marrie Baker-smith, M.D. is 2080P0202X (Pediatrics Pediatric Cardiology).

Taxonomy Code	Speciality	Primary	License No.	State
208000000X	Pediatrics	No	D70988	MD
2080P0202X	Pediatrics Pediatric Cardiology	No	D70988	MD
2080P0202X	Pediatrics Pediatric Cardiology	Yes	C1-0013525	DE

Legacy Identifiers:

Other legacy medical identifiers of Dr. Carissa Marrie Baker-smith such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.

Identifier	Identifier Type	State	Issuer
419944800	MEDICAID	MD

Other Practice Locations:

Practice Address	City, State	Phone Number
201 TOWNE CENTRE DR STE 500, DOVER, DE, 19904-4062 United States	DOVER, DE	302-672-5650

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	Po Box 191 Rockland, DE, 19732-0191 United States
Phone Number :	302-651-4200
Fax Number :	302-651-4945

Business Location:

Patients can refer following map for directions to Dr. Carissa Marrie Baker-smith practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.