| Stacy A Baum, PA | |
|
552 Randall Rd, South Elgin, IL 60177 | |
| (630) 315-6700 | |
| (630) 315-6699 |
| Full Name | Stacy A Baum |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 18 Years |
| Location | 552 Randall Rd, South Elgin, Illinois |
| 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 |
|---|---|---|---|
| 1386899458 | NPI | - | NPPES |
| F400473831 | Other | IL | INDIVIDUAL MEDICARE |
| 920540 | Other | IL | GROUP MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 085.003350 (Illinois) | Secondary |
| 363A00000X | Physician Assistant | 085003350 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Central Dupage Hospital | Winfield, IL | Hospital |
| Delnor Community Hospital | Geneva, IL | Hospital |
| Northwestern Medicine Mchenry Hospital | Mchenry, IL | Hospital |
| Kishwaukee Community Hospital | Dekalb, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Central Dupage Physician Group | 5890696231 | 1005 |
| Mailing Address | Practice Location Address |
|---|---|
| Stacy A Baum, PA 25 N Winfield Rd, Winfield, IL 60190-1295 Ph: (630) 315-6700 | Stacy A Baum, PA 552 Randall Rd, South Elgin, IL 60177 Ph: (630) 315-6700 |
Jessica Rae Shanahan, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 486 Randall Rd Unit B, South Elgin, IL 60177 Phone: 224-783-5000 Fax: 224-361-4306 |