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Carmen C Baxter

Student in an Organized Health Care Education/Training Program

Student, Health Care

PECOS Enrollment

This provider is enrolled in PECOS as CARMEN BAXTER.

Based on the most recent information from CMS, provider Carmen C Baxter is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 8 days ago.

Profile Details

Provider ID
1134370372
Provider Type
Individual
Full Name
Baxter, Carmen C
Title
Dr.
Credential
M.D.

Gender
Female
Sole Proprietor
No
Enumeration Date
10/7/2008
Last Updated
12/15/2021

Contact Information

Practice Location

1 Wyoming St, Dayton, OH 45409-2722

(937) 426-9695

Unlisted Fax

Mailing Location

1 Wyoming St, Dayton, OH 45409-2722

(937) 426-9695

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 390200000X Primary	Description Student in an Organized Health Care Education/Training Program Student, Health Care	License Unlisted Issuer

Carmen C Baxter

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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