| Janet K Baum, MD | |
|
100 South St, Southbridge, MA 01550-4051 | |
| (508) 765-9771 | |
| Not Available |
| Full Name | Janet K Baum |
|---|---|
| Gender | Female |
| Speciality | Diagnostic Radiology |
| Experience | 56 Years |
| Location | 100 South St, Southbridge, Massachusetts |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053392944 | NPI | - | NPPES |
| 700H262300 | Other | BLUE CROSS-BLUE CROSS | |
| 488616010 | Medicaid | MI | |
| JB029306 | Other | CHAMPUS-CHAMPUS | |
| JB029306 | Other | COMMERCIAL-COMMERCIAL NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 71678 (Massachusetts) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Beth Israel Deaconess Medical Center | Boston, MA | Hospital |
| Beth Israel Deaconess Hospital - Needham | Needham, MA | Hospital |
| Brigham And Women's Hospital | Boston, MA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Harvard Medical Faculty Phys At Beth Israel Deaconess Med Ctr Inc | 4486567104 | 1474 |
| Entity Name | Harvard Medical Faculty Phys At Beth Israel Deaconess Med Ctr Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275574899 PECOS PAC ID: 4486567104 Enrollment ID: O20040323000584 |
| Entity Name | Associated Physicians Of Harvard Medical Faculty Physicians At Beth Is |
|---|---|
| Entity Type | Part B Supplier - Hospital Department(s) |
| Entity Identifiers | NPI Number: 1245773308 PECOS PAC ID: 6305749987 Enrollment ID: O20170628003015 |
| Mailing Address | Practice Location Address |
|---|---|
| Janet K Baum, MD 100 South St, Southbridge, MA 01550-4051 Ph: (508) 765-9771 | Janet K Baum, MD 100 South St, Southbridge, MA 01550-4051 Ph: (508) 765-9771 |
Dr. Ebenezer Asare, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 55 Sayles St, Southbridge, MA 01550 Phone: 508-765-6830 Fax: 508-765-6836 | |
Praveen B Gulati, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 100 South St, Southbridge, MA 01550 Phone: 508-765-9771 Fax: 508-764-9410 | |
Abhijit Roychowdhury, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 100 South St, Southbridge, MA 01550 Phone: 508-765-9771 Fax: 508-764-9410 |