Carla A Baster, DO is a medicare enrolled "Family Medicine" physician in Timberlake, Ohio. Her current practice location is
29 Minnewawa Dr, Timberlake, Ohio. You can reach out to her office (for appointments etc.) via phone at
(440) 479-1669.
Carla A Baster is licensed to practice in Ohio (license number 34003592) 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 1831261015.
Physician's Profile
Full Name | Carla A Baster |
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Gender | Female |
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Speciality | Family Medicine |
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Location | 29 Minnewawa Dr, Timberlake, Ohio |
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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: 1831261015
- Provider Enumeration Date: 11/14/2006
- Last Update Date: 09/05/2019
Medicare PECOS Information:
- PECOS PAC ID: 1052506672
- Enrollment ID: I20101109000976
Medical Identifiers
Medical identifiers for Carla A Baster such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1831261015 | NPI | - | NPPES |
343003592 | Other | OH | LICENSE |
0729733 | Medicaid | OH | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 34003592 (Ohio) | 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. Carla A Baster allows following entities to bill medicare on her behalf.
Entity Name | The Metrohealth System |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1053353896 PECOS PAC ID: 8628982949 Enrollment ID: O20031119000355 |
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Entity Name | Hospice Of The Western Reserve Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1255333753 PECOS PAC ID: 3476539982 Enrollment ID: O20040625000640 |
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Entity Name | Hospice Of The Western Reserve At University Hospitals, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1821561614 PECOS PAC ID: 0941533210 Enrollment ID: O20240605003207 |
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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. Carla A Baster 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 |
Carla A Baster, DO 29 Minnewawa Dr, Timberlake, OH 44095-1928 Ph: (440) 479-1669 | Carla A Baster, DO 29 Minnewawa Dr, Timberlake, OH 44095-1928 Ph: (440) 479-1669 |
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