Dr Miriam A Baumgart, MD - Medicare General Practice in Salem, IL

Dr Miriam A Baumgart, MD is a medicare enrolled "Internal Medicine" physician in Salem, Illinois. She went to University Of Illinois College Of Med (chi/peor/rock/chm-urb) and graduated in 2005 and has 19 years of diverse experience with area of expertise as General Practice. She is a member of the group practice Salem Township Hospital and her current practice location is 1321 W Whittaker St, Salem, Illinois. You can reach out to her office (for appointments etc.) via phone at (618) 548-3922.

Dr Miriam A Baumgart is licensed to practice in Illinois (license number 36122384) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1548490360.

Contact Information

Dr Miriam A Baumgart, MD
1321 W Whittaker St,
Salem, IL 62881-2013
(618) 548-3922
(618) 548-7759

Map and Direction




Physician's Profile

Full NameDr Miriam A Baumgart
GenderFemale
SpecialityGeneral Practice
Experience19 Years
Location1321 W Whittaker St, Salem, Illinois
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Miriam A Baumgart attended and graduated from University Of Illinois College Of Med (chi/peor/rock/chm-urb) in 2005
  NPI Data:
  • NPI Number: 1548490360
  • Provider Enumeration Date: 07/15/2009
  • Last Update Date: 09/30/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 6406901255
  • Enrollment ID: I20090901000197

Medical Identifiers

Medical identifiers for Dr Miriam A Baumgart such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1548490360NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 36122384 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Regional Home Care - CrossroadsMount vernon, ILHome health agency
Lhc-illinois Home Health CareMarion, ILHome health agency
Ssm Health At Home Health-illinoisMount vernon, ILHome health agency
Salem Township HospitalSalem, ILHospital
Ssm Health St Mary's Hospital -centraliaCentralia, ILHospital
Ssm Health - Good Samaritan HospitalMount vernon, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Salem Township Hospital084019527729

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 Miriam A Baumgart allows following entities to bill medicare on her behalf.
Entity NameSalem Township Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295739548
PECOS PAC ID: 0840195277
Enrollment ID: O20031126000688

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 Miriam A Baumgart 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 AddressPractice Location Address
Dr Miriam A Baumgart, MD
1321 W Whittaker St,
Salem, IL 62881-2013

Ph: (618) 548-3922
Dr Miriam A Baumgart, MD
1321 W Whittaker St,
Salem, IL 62881-2013

Ph: (618) 548-3922

Reviews and Comments


Internal Medicine Doctors in Salem, IL

Dr. Seth Hahs, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1275 Hawthorn Rd, Salem, IL 62881
Phone: 618-548-4545    Fax: 618-548-4577
Mr. Gautam Jha, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1325 W. Whittaker, Suite D, Salem, IL 62881
Phone: 618-740-0300    Fax: 618-740-0301
Dr. Palaniappan Suppiah, MD
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 1321 W Whittaker St, Salem, IL 62881
Phone: 618-548-0466    Fax: 618-548-4512

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.