Dr Michael David Baldwin, DO - Medicare Family Practice in Essex, CT

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Dr Michael David Baldwin, DO is a medicare enrolled "Family Medicine" physician in Essex, Connecticut. He graduated from medical school in 1995 and has 31 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Prohealth Physicians Pc and his current practice location is 10 Wildwood Medical Ctr, Essex, Connecticut. You can reach out to his office (for appointments etc.) via phone at (860) 767-0145.

Dr Michael David Baldwin is licensed to practice in Connecticut (license number 000490) 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 1104895382.

Contact Information

Dr Michael David Baldwin, DO
10 Wildwood Medical Ctr,
Essex, CT 06426-1154
(860) 767-0145
Not Available

Map and Direction




Physician's Profile

Full NameDr Michael David Baldwin
GenderMale
SpecialityFamily Practice
Experience31 Years
Location10 Wildwood Medical Ctr, Essex, Connecticut
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:
  • Dr Michael David Baldwin graduated from medical school in 1995
  NPI Data:
  • NPI Number: 1104895382
  • Provider Enumeration Date: 03/17/2006
  • Last Update Date: 05/30/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 6800935834
  • Enrollment ID: I20091203000471

Medical Identifiers

Medical identifiers for Dr Michael David Baldwin such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104895382NPI-NPPES
001004902MedicaidCT

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207QA0505XFamily Medicine - Adult Medicine 000490 (Connecticut)Secondary
207Q00000XFamily Medicine 000490 (Connecticut)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Middlesex HospitalMiddletown, CTHospital
Yale-new Haven HospitalNew haven, CTHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Prohealth Physicians Pc1355246950199

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. Dr Michael David Baldwin allows following entities to bill medicare on his behalf.
Entity NameProhealth Physicians Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1720194053
PECOS PAC ID: 1355246950
Enrollment ID: O20031205000602

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. Dr Michael David 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
Dr Michael David Baldwin, DO
10 Wildwood Medical Ctr,
Essex, CT 06426-1154

Ph: (860) 767-0145		Dr Michael David Baldwin, DO
10 Wildwood Medical Ctr,
Essex, CT 06426-1154

Ph: (860) 767-0145

Reviews and Comments


Family Medicine Doctors in Essex, CT

Elizabeth K. Nelligan, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 147 Westbrook Rd, Essex, CT 06426
Phone: 860-767-8265    Fax: 860-358-8653
Dr. Thomas Mcdowell, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 32 Birch Mill Trl, Essex, CT 06426
Phone: 256-202-4299    
Dr. Louise M Maloney, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 9 Wildwood Medical Ctr, Essex, CT 06426
Phone: 860-767-9940    Fax: 860-767-9775

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.