Douglas Rawling Baldwin, MD - Medicare Cardiac Surgery in Saint Paul, MN

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Douglas Rawling Baldwin, MD is a medicare enrolled "Thoracic Surgery (cardiothoracic Vascular Surgery)" physician in Saint Paul, Minnesota. He went to University Of Minnesota Medical School and graduated in 1991 and has 35 years of diverse experience with area of expertise as Cardiac Surgery. He is a member of the group practice Group Health Plan Inc and his current practice location is 640 Jackson St, Saint Paul, Minnesota. You can reach out to his office (for appointments etc.) via phone at (651) 254-2987.

Douglas Rawling Baldwin is licensed to practice in Minnesota (license number 36943) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1104853092.

Contact Information

Douglas Rawling Baldwin, MD
640 Jackson St,
Saint Paul, MN 55101-2502
(651) 254-2987
(651) 254-1603

Map and Direction




Physician's Profile

Full NameDouglas Rawling Baldwin
GenderMale
SpecialityCardiac Surgery
Experience35 Years
Location640 Jackson St, Saint Paul, Minnesota
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Douglas Rawling Baldwin attended and graduated from University Of Minnesota Medical School in 1991
  NPI Data:
  • NPI Number: 1104853092
  • Provider Enumeration Date: 06/27/2006
  • Last Update Date: 03/09/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 3971597386
  • Enrollment ID: I20141027002604

Medical Identifiers

Medical identifiers for Douglas Rawling Baldwin such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104853092NPI-NPPES
36943OtherMNLICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208G00000XThoracic Surgery (cardiothoracic Vascular Surgery) 36943 (Minnesota)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Regions HospitalSaint paul, MNHospital
Amery Hospital & ClinicAmery, WIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Group Health Plan Inc17592939541487

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. Douglas Rawling Baldwin allows following entities to bill medicare on his behalf.
Entity NameGroup Health Plan Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710924683
PECOS PAC ID: 1759293954
Enrollment ID: O20031105000417

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. Douglas Rawling 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 AddressPractice Location Address
Douglas Rawling Baldwin, MD
8170 33rd Ave S # Ms 21110q,
Minneapolis, MN 55425-4516

Ph: () -		Douglas Rawling Baldwin, MD
640 Jackson St,
Saint Paul, MN 55101-2502

Ph: (651) 254-2987

Reviews and Comments


Thoracic Surgery (Cardiothoracic Vascular Surgery) Doctors in Saint Paul, MN

Jonathan Peter Boksberger, D.O.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Medicare: Accepting Medicare Assignments
Practice Location: 640 Jackson St, Saint Paul, MN 55101
Phone: 651-254-2987    Fax: 651-254-1603
Dr. Jong Duk Kim, M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Medicare: Accepting Medicare Assignments
Practice Location: 640 Jackson St, Saint Paul, MN 55101
Phone: 651-254-2987    Fax: 651-254-1603

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.