Mrs Mary Johana Baldwin, MA, PSYD is a medicare enrolled "Psychologist" provider in Albuquerque, New Mexico. Her current practice location is
2211 Lomas Blvd Ne, Albuquerque, New Mexico. You can reach out to her office (for appointments etc.) via phone at
(361) 563-9307.
Mrs Mary Johana Baldwin is licensed to practice in New Mexico (license number PSY-2023-0056) 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 1619557493.
Healthcare Provider's Profile
Full Name | Mrs Mary Johana Baldwin |
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Gender | Female |
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Speciality | Psychologist |
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Location | 2211 Lomas Blvd Ne, Albuquerque, New Mexico |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1619557493
- Provider Enumeration Date: 04/14/2021
- Last Update Date: 09/01/2023
Medicare PECOS Information:
- PECOS PAC ID: 7719341429
- Enrollment ID: I20230914000483
Medical Identifiers
Medical identifiers for Mrs Mary Johana Baldwin such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1619557493 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 70930 (Texas) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (New Mexico) | Secondary |
103T00000X | Psychologist | PSY-2023-0056 (New Mexico) | 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. Mrs Mary Johana Baldwin allows following entities to bill medicare on her behalf.
Entity Name | Unm Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1831218627 PECOS PAC ID: 4981795267 Enrollment ID: O20070801000589 |
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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. Mrs Mary Johana 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 |
Mrs Mary Johana Baldwin, MA, PSYD 933 Bradbury Dr Se Ste 2222, Albuquerque, NM 87106-4375 Ph: (361) 563-9307 | Mrs Mary Johana Baldwin, MA, PSYD 2211 Lomas Blvd Ne, Albuquerque, NM 87106-2719 Ph: (361) 563-9307 |
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