Mrs Nisha Ray Baur, DO is a medicare enrolled "Preventive Medicine - Aerospace Medicine" physician in Edwards Afb, California. Her current practice location is
55 N Wolfe Ave, Edwards Afb, California. You can reach out to her office (for appointments etc.) via phone at
(661) 275-2573.
Mrs Nisha Ray Baur is licensed to practice in Utah (license number 7152185-1204) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1780838789.
Physician's Profile
| Full Name | Mrs Nisha Ray Baur |
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| Gender | Female |
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| Speciality | Preventive Medicine - Aerospace Medicine |
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| Location | 55 N Wolfe Ave, Edwards Afb, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1780838789
- Provider Enumeration Date: 11/05/2008
- Last Update Date: 01/26/2026
Medicare PECOS Information:
- PECOS PAC ID: 7315063187
- Enrollment ID: I20100929001014
Medical Identifiers
Medical identifiers for Mrs Nisha Ray Baur such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1780838789 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208000000X | Pediatrics | 7152185-1204 (Utah) | Secondary |
| 208D00000X | General Practice | 7152185-1204 (Utah) | Secondary |
| 2083A0100X | Preventive Medicine - Aerospace Medicine | 7152185-1204 (Utah) | Primary |
| 208000000X | Pediatrics | FB1143647 (Utah) | Secondary |
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. Mrs Nisha Ray Baur allows following entities to bill medicare on her behalf.
| Entity Name | Tanner Memorial Clinic |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1447239355 PECOS PAC ID: 4284547985 Enrollment ID: O20031110000132 |
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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. Mrs Nisha Ray Baur 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 Address | Practice Location Address |
Mrs Nisha Ray Baur, DO 7612 S 2800 E, South Weber, UT 84405-9627 Ph: (801) 920-3918 | Mrs Nisha Ray Baur, DO 55 N Wolfe Ave, Edwards Afb, CA 93524-6201 Ph: (661) 275-2573 |
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