Andy Baum, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Folsom, California. His current practice location is
1550 Iron Point Rd Apt 2423, Folsom, California. You can reach out to his office (for appointments etc.) via phone at
(713) 204-8565.
Andy Baum is licensed to practice in California (license number 95000607) 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 1275929838.
Provider's Profile
| Full Name | Andy Baum |
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| Gender | Male |
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| Speciality | Nurse Anesthetist, Certified Registered |
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| Location | 1550 Iron Point Rd Apt 2423, Folsom, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1275929838
- Provider Enumeration Date: 04/10/2015
- Last Update Date: 01/04/2022
Medicare PECOS Information:
- PECOS PAC ID: 0648589895
- Enrollment ID: I20171122001616
Medical Identifiers
Medical identifiers for Andy Baum such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1275929838 | NPI | - | NPPES |
| 351568602 | Medicaid | TX | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 815196 (Texas) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | AP129075 (Texas) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 95000607 (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. Andy Baum allows following entities to bill medicare on his behalf.
| Entity Name | Permanente Medical Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1073606299
PECOS PAC ID: 8921910225
Enrollment ID: O20031104000710 |
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| Entity Name | El Dorado Anesthesia Medical Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1356390983
PECOS PAC ID: 2163314048
Enrollment ID: O20040325001674 |
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| Entity Name | First Choice Anesthesia Consultants Of Northern California Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1568749570
PECOS PAC ID: 8628231537
Enrollment ID: O20120511000306 |
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| Entity Name | Uap Sacramento, Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1245644863
PECOS PAC ID: 2860612330
Enrollment ID: O20141003002026 |
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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. Andy Baum 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 |
|---|
Andy Baum, CRNA
1550 Iron Point Rd Apt 2423,
Folsom, CA 95630-7820
Ph: (713) 204-8565 | Andy Baum, CRNA
1550 Iron Point Rd Apt 2423,
Folsom, CA 95630-7820
Ph: (713) 204-8565 |
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