Kaitlyn Taylor Baudille, is a medicare enrolled "Physician Assistant - Medical" physician in Bethpage, New York. Her current practice location is
4295 Hempstead Tpke, Bethpage, New York. You can reach out to her office (for appointments etc.) via phone at
(516) 579-6000.
Kaitlyn Taylor Baudille is licensed to practice in * (Not Available) (license number ) 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 1760163612.
Physician's Profile
Full Name | Kaitlyn Taylor Baudille |
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Gender | Female |
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Speciality | Physician Assistant - Medical |
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Location | 4295 Hempstead Tpke, Bethpage, New York |
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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: 1760163612
- Provider Enumeration Date: 07/25/2023
- Last Update Date: 10/26/2023
Medicare PECOS Information:
- PECOS PAC ID: 1658729744
- Enrollment ID: I20231130000502
Medical Identifiers
Medical identifiers for Kaitlyn Taylor Baudille such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1760163612 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207P00000X | Emergency Medicine | 031017 (New York) | Secondary |
363AM0700X | Physician Assistant - Medical | (* (Not Available)) | 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. Kaitlyn Taylor Baudille 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 |
Kaitlyn Taylor Baudille, 1236 Rxr Plz, Uniondale, NY 11556-1236 Ph: () - | Kaitlyn Taylor Baudille, 4295 Hempstead Tpke, Bethpage, NY 11714-5713 Ph: (516) 579-6000 |
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