Dustin Kyle Baldwin, in Snowflake, AZ - Medicare Nurse Practitioner

Dustin Kyle Baldwin, is a medicare enrolled "Nurse Practitioner - Family" in Snowflake, Arizona. His current practice location is 590 S Main St, Snowflake, Arizona. You can reach out to his office (for appointments etc.) via phone at (928) 536-7519.

Dustin Kyle Baldwin is licensed to practice in Arizona (license number 294738) 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 1407534316.

Contact Information

	Dustin Kyle Baldwin,
	590 S Main St, Snowflake, AZ 85937-5228
	(928) 536-7519
	(928) 532-2139

Map and Direction

Provider's Profile

Full Name	Dustin Kyle Baldwin
Gender	Male
Speciality	Nurse Practitioner - Family
Location	590 S Main St, Snowflake, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1407534316
Provider Enumeration Date: 07/10/2023
Last Update Date: 04/12/2024

Medicare PECOS Information:

PECOS PAC ID: 9133583081
Enrollment ID: I20230912001393

Medical Identifiers

Medical identifiers for Dustin Kyle Baldwin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1407534316	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	294738 (Arizona)	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. Dustin Kyle Baldwin allows following entities to bill medicare on his behalf.

Entity Name	Summit Healthcare Medical Associates
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1467878108 PECOS PAC ID: 8729205737 Enrollment ID: O20140815000931

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. Dustin Kyle Baldwin 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
Dustin Kyle Baldwin, 590 S Main St, Snowflake, AZ 85937-5228 Ph: (928) 536-7519	Dustin Kyle Baldwin, 590 S Main St, Snowflake, AZ 85937-5228 Ph: (928) 536-7519

Reviews and Comments

Nurse Practitioner Nurses in Snowflake, AZ

Mark Skousen, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1745 W Western Dove Dr, Snowflake, AZ 85937 Phone: 480-586-0035
Constance L Collman, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 423 S Main St, Snowflake, AZ 85937 Phone: 928-536-6869 Fax: 928-536-4788
Mr. Ronald Joe Byrd, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 590 S Main St, Snowflake, AZ 85937 Phone: 928-536-7519 Fax: 928-536-7305
Mrs. Deborah Kim Gardner, APRN, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 590 S Main St, Snowflake, AZ 85937 Phone: 928-536-7519 Fax: 928-532-2139

Dustin Kyle Baldwin, - Medicare Nurse Practitioner in Snowflake, AZ