Donald L Bader, is a medicare enrolled "Emergency Medicine" physician in Ft Defiance, Arizona. His current practice location is
Corner Of Route N12 And N7, Ft Defiance, Arizona. You can reach out to his office (for appointments etc.) via phone at
(928) 729-8600.
Donald L Bader is licensed to practice in Colorado (license number 36859) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1316963366.
Physician's Profile
| Full Name | Donald L Bader |
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| Gender | Male |
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| Speciality | Emergency Medicine |
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| Location | Corner Of Route N12 And N7, Ft Defiance, Arizona |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1316963366
- Provider Enumeration Date: 07/14/2006
- Last Update Date: 10/27/2014
Medicare PECOS Information:
- PECOS PAC ID: 9830112333
- Enrollment ID: I20140905000442
Medical Identifiers
Medical identifiers for Donald L Bader such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1316963366 | NPI | - | NPPES |
| 930060672 | Other | | RAILROAD |
| P00448188 | Other | CO | RAILROAD MEDICARE PIN |
| 000S2505 | Medicaid | NM | |
| 01368596 | Medicaid | CO | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207P00000X | Emergency Medicine | 36859 (Colorado) | 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. Donald L Bader allows following entities to bill medicare on his behalf.
| Entity Name | Dhhs Phs Naihs Shiprock Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1780639971
PECOS PAC ID: 0749193837
Enrollment ID: O20031105000809 |
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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. Donald L Bader 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 |
|---|
Donald L Bader,
Po Box 589, Ft Defiance Indian Hospital Board,
Fort Defiance, AZ 86504-0589
Ph: (928) 729-8600 | Donald L Bader,
Corner Of Route N12 And N7,
Ft Defiance, AZ 86504-0589
Ph: (928) 729-8600 |
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