Dr Brad Robin Baack, MD is a medicare enrolled "Dermatology" physician in Johnstown, Colorado. He went to University Of New Mexico School Of Medicine and graduated in 1987 and has 37 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice Poudre Valley Medical Group Llc and his current practice location is
4795 Larimer Pkwy Ste 150, Johnstown, Colorado. You can reach out to his office (for appointments etc.) via phone at
(970) 342-2222.
Dr Brad Robin Baack is licensed to practice in Colorado (license number DR.0039315) 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 1104856061.
Physician's Profile
| Full Name | Dr Brad Robin Baack |
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| Gender | Male |
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| Speciality | Dermatology |
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| Experience | 37 Years |
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| Location | 4795 Larimer Pkwy Ste 150, Johnstown, Colorado |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Brad Robin Baack attended and graduated from University Of New Mexico School Of Medicine in 1987
NPI Data:
- NPI Number: 1104856061
- Provider Enumeration Date: 07/04/2006
- Last Update Date: 07/18/2024
Medicare PECOS Information:
- PECOS PAC ID: 6204729734
- Enrollment ID: I20091228000454
Medical Identifiers
Medical identifiers for Dr Brad Robin Baack such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1104856061 | NPI | - | NPPES |
| 17283779 | Medicaid | CO | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207ND0101X | Dermatology - Mohs-micrographic Surgery | DR.0039315 (Colorado) | Secondary |
| 207ND0900X | Dermatology - Dermatopathology | 39315 (Colorado) | Secondary |
| 207NS0135X | Dermatology - Procedural Dermatology | 39315 (Colorado) | Secondary |
| 207N00000X | Dermatology | DR.0039315 (Colorado) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Poudre Valley Medical Group Llc | 9638208549 | 1607 |
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. Dr Brad Robin Baack allows following entities to bill medicare on his behalf.
| Entity Name | Poudre Valley Medical Group Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1366763260
PECOS PAC ID: 9638208549
Enrollment ID: O20100602000122 |
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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. Dr Brad Robin Baack 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 |
|---|
Dr Brad Robin Baack, MD
4795 Larimer Pkwy,
Johnstown, CO 80534-9021
Ph: (970) 342-2222 | Dr Brad Robin Baack, MD
4795 Larimer Pkwy Ste 150,
Johnstown, CO 80534-9021
Ph: (970) 342-2222 |
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