Mr James R Baughman, LCSW - Medicare Clinical Social Worker in Virginia Beach, VA

Mr James R Baughman, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Virginia Beach, Virginia. He graduated from medical school in 2010 and has 14 years of diverse experience with area of expertise as Clinical Social Worker. He is a member of the group practice Improving Lives Counseling Services Inc and his current practice location is 575 Lynnhaven Pkwy Ste 305, Virginia Beach, Virginia. You can reach out to his office (for appointments etc.) via phone at (804) 280-0826.

Mr James R Baughman is licensed to practice in Virginia (license number 0904010254) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1356676852.

Contact Information

Mr James R Baughman, LCSW
575 Lynnhaven Pkwy Ste 305,
Virginia Beach, VA 23452-7350
(804) 280-0826
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameMr James R Baughman
GenderMale
SpecialityClinical Social Worker
Experience14 Years
Location575 Lynnhaven Pkwy Ste 305, Virginia Beach, Virginia
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mr James R Baughman graduated from medical school in 2010
  NPI Data:
  • NPI Number: 1356676852
  • Provider Enumeration Date: 10/16/2009
  • Last Update Date: 10/25/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 2860758042
  • Enrollment ID: I20171103000024

Medical Identifiers

Medical identifiers for Mr James R Baughman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1356676852NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical 8806 (Oklahoma)Secondary
1041C0700XSocial Worker - Clinical 0904010254 (Virginia)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Improving Lives Counseling Services Inc387081823028

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. Mr James R Baughman allows following entities to bill medicare on his behalf.
Entity NameImproving Lives Counseling Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487967444
PECOS PAC ID: 3870818230
Enrollment ID: O20150206001731
Entity NameChoose Courage Counseling Services, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528631314
PECOS PAC ID: 3577936863
Enrollment ID: O20230308000076

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. Mr James R Baughman 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
Mr James R Baughman, LCSW
575 Lynnhaven Pkwy Ste 305,
Virginia Beach, VA 23452-7350

Ph: (804) 280-0826
Mr James R Baughman, LCSW
575 Lynnhaven Pkwy Ste 305,
Virginia Beach, VA 23452-7350

Ph: (804) 280-0826

Reviews and Comments


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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.