Song I Baek, - Medicare Nurse Practitioner in Elkhart, IN

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Song I Baek, is a medicare enrolled "Nurse Practitioner - Family" in Elkhart, Indiana. Her current practice location is 1004 Parkway Ave Ste E, Elkhart, Indiana. You can reach out to her office (for appointments etc.) via phone at (574) 218-7131.

Song I Baek is licensed to practice in Indiana (license number 71006583A) 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 1679020119.

Contact Information

Song I Baek,
1004 Parkway Ave Ste E,
Elkhart, IN 46516-9349
(574) 218-7131
Not Available

Map and Direction




Provider's Profile

Full NameSong I Baek
GenderFemale
SpecialityNurse Practitioner - Family
Location1004 Parkway Ave Ste E, Elkhart, Indiana
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1679020119
  • Provider Enumeration Date: 09/01/2016
  • Last Update Date: 11/15/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 2163701160
  • Enrollment ID: I20161115001906

Medical Identifiers

Medical identifiers for Song I Baek such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1679020119NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 71006583A (Indiana)Primary
363LF0000XNurse Practitioner - Family 28231893A (Indiana)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. Song I Baek allows following entities to bill medicare on her behalf.
Entity NameHeart City Health Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1720033418
PECOS PAC ID: 9931008380
Enrollment ID: O20040105000515
Entity NameCleanslate Medical Group Of Indiana Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023464294
PECOS PAC ID: 4880963909
Enrollment ID: O20171023001515
Entity NameInforme Healthcare, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407343965
PECOS PAC ID: 8123375474
Enrollment ID: O20180723000258
Entity NameInforme Healthcare In, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1992276638
PECOS PAC ID: 9537407770
Enrollment ID: O20190213000486

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. Song I Baek 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
Song I Baek,
1004 Parkway Ave Ste E,
Elkhart, IN 46516-9349

Ph: (574) 218-7131		Song I Baek,
1004 Parkway Ave Ste E,
Elkhart, IN 46516-9349

Ph: (574) 218-7131

Reviews and Comments


Nurse Practitioner Nurses in Elkhart, IN

Elizabeth W Maina, NP
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Cecilia Mumbi Maina,
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Practice Location: 236 Simpson Ave, Elkhart, IN 46516
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Mr. Kenneth Francis Raderstorf Iii, NP
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Medicare: Medicare Enrolled
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Phone: 574-266-5342    Fax: 574-266-5847
Rosemary J Eash, FNP
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Practice Location: 1627 E Bristol St, Elkhart, IN 46514
Phone: 574-262-0313    Fax: 574-262-8163
Lorraine Doris Swartzentruber, FNP
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Mrs. Catherine E Dos Santos, MSN, FNP-C
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Medicare: Accepting Medicare Assignments
Practice Location: 3421 S Main St, Elkhart, IN 46517
Phone: 574-295-7178    Fax: 574-295-8822
Ann R. Moore, NP
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Practice Location: 500 Arcade Ave, Ste 210, Elkhart, IN 46514
Phone: 574-389-5656    Fax: 574-523-7891

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.