Peter Baum, MD is a medicare enrolled "Allergy & Immunology - Allergy" physician in Sycamore, Illinois. His current practice location is
1850 Gateway Dr, Sycamore, Illinois. You can reach out to his office (for appointments etc.) via phone at
(815) 758-8671.
Peter Baum is licensed to practice in Illinois (license number 036-061024) 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 1164431391.
Physician's Profile
| Full Name | Peter Baum |
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| Gender | Male |
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| Speciality | Allergy & Immunology - Allergy |
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| Location | 1850 Gateway Dr, Sycamore, Illinois |
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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: 1164431391
- Provider Enumeration Date: 08/05/2006
- Last Update Date: 10/28/2011
Medicare PECOS Information:
- PECOS PAC ID: 2961308275
- Enrollment ID: I20110210000192
Medical Identifiers
Medical identifiers for Peter Baum such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1164431391 | NPI | - | NPPES |
| 036061024 | Medicaid | IL | |
| 008447 | Other | IL | HEALTH ALLIANCE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207KA0200X | Allergy & Immunology - Allergy | 036-061024 (Illinois) | 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. Peter Baum allows following entities to bill medicare on his behalf.
| Entity Name | Kishwaukee Physician Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1932480605 PECOS PAC ID: 3870768054 Enrollment ID: O20111216000435 |
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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. Peter Baum 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 |
Peter Baum, MD 1850 Gateway Dr, Sycamore, IL 60178-3192 Ph: (815) 758-8671 | Peter Baum, MD 1850 Gateway Dr, Sycamore, IL 60178-3192 Ph: (815) 758-8671 |
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