Dr Todd E Baldwin, DO - Medicare Family Practice in Lake Katrine, NY

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Dr Todd E Baldwin, DO is a medicare enrolled "Family Medicine" physician in Lake Katrine, New York. He went to New York College Of Osteo Medicine Of New York Institute Of Technology and graduated in 1999 and has 27 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Hurley Ave Family Med Pllc, Optum Medical Care Pc and his current practice location is 1561 Route 9w, Lake Katrine, New York. You can reach out to his office (for appointments etc.) via phone at (845) 231-5600.

Dr Todd E Baldwin is licensed to practice in New York (license number 219581-1) 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 1275537250.

Contact Information

Dr Todd E Baldwin, DO
1561 Route 9w,
Lake Katrine, NY 12449-5410
(845) 231-5600
(845) 202-6005

Map and Direction




Physician's Profile

Full NameDr Todd E Baldwin
GenderMale
SpecialityFamily Practice
Experience27 Years
Location1561 Route 9w, Lake Katrine, New York
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 Todd E Baldwin attended and graduated from New York College Of Osteo Medicine Of New York Institute Of Technology in 1999
  NPI Data:
  • NPI Number: 1275537250
  • Provider Enumeration Date: 06/08/2005
  • Last Update Date: 11/15/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 6800847229
  • Enrollment ID: I20050202001099

Medical Identifiers

Medical identifiers for Dr Todd E Baldwin such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1275537250NPI-NPPES
02243263MedicaidNY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 219581-1 (New York)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Archcare At HomeValhalla, NYHome health agency
Americare Certified Special Services, Inc ChhaBrooklyn, NYHome health agency
Willcare Chha (newburgh)Newburgh, NYHome health agency
Columbia Memorial HospitalHudson, NYHospital
Healthalliance Hospital Marys Avenue CampusKingston, NYHospital
Northern Dutchess HospitalRhinebeck, NYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Hurley Ave Family Med Pllc06481690379
Optum Medical Care Pc99310132401031

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 Todd E Baldwin allows following entities to bill medicare on his behalf.
Entity NameOptum Medical Care Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1982643003
PECOS PAC ID: 9931013240
Enrollment ID: O20031119000321

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 Todd E 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 Todd E Baldwin, DO
110 S Bedford Rd, Caremount Medical Pc,
Mount Kisco, NY 10549-3446

Ph: (914) 241-1050		Dr Todd E Baldwin, DO
1561 Route 9w,
Lake Katrine, NY 12449-5410

Ph: (845) 231-5600

Reviews and Comments


Family Medicine Doctors in Lake Katrine, NY

Dr. Mark Anthony Montera, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1561 Rte 9w, Lake Katrine, NY 12449
Phone: 845-231-5600    Fax: 845-202-6005

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.