Dr Joseph Gothilf Baum, PHD is a
Psychologist - Clinical based in Gulfport, Florida. Dr Joseph Gothilf Baum is licensed to practice in Florida (license number PY4190) and his current practice location is
5301 Gulfport Blvd S, Gulfport, Florida. He can be reached at his office (for appointments etc.) via phone at
(727) 894-9777.
NPI number for Dr Joseph Gothilf Baum is 1508893249 and his current mailing address is 5301 Gulfport Blvd S, Gulfport, Florida. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1508893249.
Healthcare Provider's Profile
| Full Name | Dr Joseph Gothilf Baum |
|---|
| Gender | Male |
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| Speciality | Psychologist - Clinical |
|---|
| Location | 5301 Gulfport Blvd S, Gulfport, Florida |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1508893249
- Provider Enumeration Date: 06/27/2006
- Last Update Date: 01/31/2015
Medical Identifiers
Medical identifiers for Dr Joseph Gothilf Baum such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1508893249 | NPI | - | NPPES |
| 6156253 | Other | FL | UBH PROVIDER ID# |
| 010152 | Other | FL | VALUEOPTIONS PROVIDER # |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TC0700X | Psychologist - Clinical | PY4190 (Florida) | Primary |
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. Dr Joseph Gothilf Baum is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Joseph Gothilf Baum, PHD
5301 Gulfport Blvd S,
Gulfport, FL 33707-4947
Ph: (727) 894-9777 | Dr Joseph Gothilf Baum, PHD
5301 Gulfport Blvd S,
Gulfport, FL 33707-4947
Ph: (727) 894-9777 |
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