Kim Stacy Baldwin, PHD LP in Red Wing, MN - Medicare Psychologist Provider

Kim Stacy Baldwin, PHD LP is a medicare enrolled "Psychologist" provider in Red Wing, Minnesota. Her current practice location is 1407 W 4th St, Red Wing, Minnesota. You can reach out to her office (for appointments etc.) via phone at (651) 267-5000.

Kim Stacy Baldwin is licensed to practice in Minnesota (license number LP1728) 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 1205801610.

Contact Information

	Kim Stacy Baldwin, PHD LP
	1407 W 4th St, Red Wing, MN 55066-2108
	(651) 267-5000
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kim Stacy Baldwin
Gender	Female
Speciality	Psychologist
Location	1407 W 4th St, Red Wing, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1205801610
Provider Enumeration Date: 02/20/2006
Last Update Date: 02/11/2021

Medicare PECOS Information:

PECOS PAC ID: 4880604289
Enrollment ID: I20060501000167

Medical Identifiers

Medical identifiers for Kim Stacy Baldwin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1205801610	NPI	-	NPPES
365352800	Medicaid	MN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	LP1728 (Minnesota)	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. Kim Stacy Baldwin allows following entities to bill medicare on her behalf.

Entity Name	Mayo Clinic Health System-southeast Minnesota Region
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1891701637 PECOS PAC ID: 4385556703 Enrollment ID: O20031104000408

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. Kim Stacy Baldwin 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
Kim Stacy Baldwin, PHD LP 32073 Lakeview Dr, Lake City, MN 55041-3256 Ph: () -	Kim Stacy Baldwin, PHD LP 1407 W 4th St, Red Wing, MN 55066-2108 Ph: (651) 267-5000

Reviews and Comments

Psychologist in Red Wing, MN

Dr. Mary Jane Whiteside, PHD, LP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 217 Plum St, Suite 140, Red Wing, MN 55066 Phone: 651-388-4302 Fax: 651-385-9052
Jodilynn F Olson, PHD-LP Psychologist Medicare: Accepting Medicare Assignments Practice Location: 701 Hewitt Blvd, Red Wing, MN 55066 Phone: 651-267-5000 Fax: 651-267-5000
David Neil Olson, MSW Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2285 Hallquist Ave, Red Wing, MN 55066 Phone: 651-764-4747
William G Clafton, LP Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1755 Old West Main St, Suite 204, Red Wing, MN 55066 Phone: 651-385-9131 Fax: 651-385-9141
David L Roseen, PHD, LP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1407 W 4th St, Red Wing, MN 55066 Phone: 651-267-5000
Kathryn Zoff-seivert, PH.D. LP Psychologist Medicare: May Accept Medicare Assignments Practice Location: 2000 Old West Main, Suite 329, Red Wing, MN 55066 Phone: 651-388-6459 Fax: 651-388-0778

Kim Stacy Baldwin, PHD LP - Medicare Psychologist in Red Wing, MN