Dr Paul M Baker, MD - Medicare Pediatrics in Middletown, NY

Dr Paul M Baker, MD is a medicare enrolled "Pediatrics" physician in Middletown, New York. His current practice location is 100 Crystal Run Rd, Middletown, New York. You can reach out to his office (for appointments etc.) via phone at (845) 703-6999.

Dr Paul M Baker is licensed to practice in New York (license number 128174) 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 1497889232.

Contact Information

Dr Paul M Baker, MD
100 Crystal Run Rd,
Middletown, NY 10941-4041
(845) 703-6999
(845) 703-6297

Map and Direction




Physician's Profile

Full NameDr Paul M Baker
GenderMale
SpecialityPediatrics
Location100 Crystal Run Rd, Middletown, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1497889232
  • Provider Enumeration Date: 03/15/2007
  • Last Update Date: 07/31/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 4385802180
  • Enrollment ID: I20120224000683

Medical Identifiers

Medical identifiers for Dr Paul M Baker such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1497889232NPI-NPPES
00563800MedicaidNY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 128174 (New York)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. Dr Paul M Baker allows following entities to bill medicare on his behalf.
Entity NameCrystal Run Healthcare Physicians Llp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952376410
PECOS PAC ID: 6901792696
Enrollment ID: O20040227000791

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 Paul M Baker 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 Paul M Baker, MD
155 Crystal Run Rd,
Middletown, NY 10941-4028

Ph: (845) 703-6999
Dr Paul M Baker, MD
100 Crystal Run Rd,
Middletown, NY 10941-4041

Ph: (845) 703-6999

Reviews and Comments


Pediatrics Doctors in Middletown, NY

William Anthony Rose, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 400 Midway Park Drive, Orange Pediatric Associates Pc, Middletown, NY 10940
Phone: 845-343-0728    Fax: 845-343-2087
Dr. Hartley S. Bancroft Ii, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 400 Midway Park Dr, Middletown, NY 10940
Phone: 845-343-0728    Fax: 845-343-2087
Kathleen Byrne, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 100 Crystal Run Rd, Middletown, NY 10941
Phone: 845-703-6999    Fax: 845-703-6297
Pooja Chandra, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 707 E Main St, Middletown, NY 10940
Phone: 845-333-7575    Fax: 845-333-7120
Dr. Daniel Joseph Ohern, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 155 Crystal Run Rd, Middletown, NY 10941
Phone: 845-703-6999    Fax: 845-703-6297
Jill Hirsch, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 155 Crystal Run Rd, Middletown, NY 10941
Phone: 845-703-6999    Fax: 845-796-5807
Hui Ling Deng, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 155 Crystal Run Rd, Middletown, NY 10941
Phone: 845-703-6999    Fax: 845-703-6297

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.