Donghwa Baek, is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Philadelphia, Pennsylvania. His current practice location is
3400 Spruce St, Philadelphia, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at
(215) 316-5151.
Donghwa Baek is licensed to practice in Pennsylvania (license number MT229978) 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 1013402718.
Physician's Profile
| Full Name | Donghwa Baek |
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| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 3400 Spruce St, Philadelphia, Pennsylvania |
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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: 1013402718
- Provider Enumeration Date: 06/25/2018
- Last Update Date: 02/03/2024
Medicare PECOS Information:
- PECOS PAC ID: 5991243040
- Enrollment ID: I20240820002730
Medical Identifiers
Medical identifiers for Donghwa Baek such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1013402718 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | U1232 (Texas) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | BP10064572 (Texas) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | MT229978 (Pennsylvania) | 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. Donghwa Baek allows following entities to bill medicare on his behalf.
| Entity Name | Methodist Pathology Associates Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1508824806
PECOS PAC ID: 4082625173
Enrollment ID: O20060607000075 |
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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. Donghwa Baek 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 |
|---|
Donghwa Baek,
6550 Fannin St,
Houston, TX 77030-2717
Ph: (713) 441-3490 | Donghwa Baek,
3400 Spruce St,
Philadelphia, PA 19104-4238
Ph: (215) 316-5151 |
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