Jessica Lauryn Baum, PA-C is a medicare enrolled "Physician Assistant" physician in Lawrenceville, Georgia. Her current practice location is
631 Professional Dr Ste 170, Lawrenceville, Georgia. You can reach out to her office (for appointments etc.) via phone at
(678) 612-2663.
Jessica Lauryn Baum is licensed to practice in Georgia (license number 10351) 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 1992379135.
Physician's Profile
Full Name | Jessica Lauryn Baum |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 631 Professional Dr Ste 170, Lawrenceville, Georgia |
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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: 1992379135
- Provider Enumeration Date: 05/13/2021
- Last Update Date: 01/24/2025
Medicare PECOS Information:
- PECOS PAC ID: 0547617417
- Enrollment ID: I20231114003473
Medical Identifiers
Medical identifiers for Jessica Lauryn Baum such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1992379135 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207XX0801X | Orthopaedic Surgery - Orthopaedic Trauma | 10351 (Georgia) | Secondary |
363A00000X | Physician Assistant | 10351 (Georgia) | Primary |
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. Jessica Lauryn Baum 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 |
Jessica Lauryn Baum, PA-C 631 Professional Dr Ste 170, Lawrenceville, GA 30046-3392 Ph: () - | Jessica Lauryn Baum, PA-C 631 Professional Dr Ste 170, Lawrenceville, GA 30046-3392 Ph: (678) 612-2663 |
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