Kerry Robert Baum Jr, MD is a medicare enrolled "Surgery" physician in Roosevelt, Utah. He went to University Of Michigan Medical School and graduated in 2011 and has 13 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Uintah Basin Medical Center, Northeastern Utah Medical Group and his current practice location is
250 W 300 N, Uintah Basin Medical Center, Roosevelt, Utah. You can reach out to his office (for appointments etc.) via phone at
(435) 722-4691.
Kerry Robert Baum Jr is licensed to practice in Utah (license number 8414666-1205) 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 1093004202.
Physician's Profile
Full Name | Kerry Robert Baum Jr |
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Gender | Male |
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Speciality | General Surgery |
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Experience | 13 Years |
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Location | 250 W 300 N, Roosevelt, Utah |
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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. |
Medical Education and Training:
- Kerry Robert Baum Jr attended and graduated from University Of Michigan Medical School in 2011
NPI Data:
- NPI Number: 1093004202
- Provider Enumeration Date: 03/29/2011
- Last Update Date: 09/23/2016
Medicare PECOS Information:
- PECOS PAC ID: 4284866344
- Enrollment ID: I20160729000818
Medical Identifiers
Medical identifiers for Kerry Robert Baum Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1093004202 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208600000X | Surgery | 8414666-1205 (Utah) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Uintah Basin Medical Center | 0244131944 | 56 |
Northeastern Utah Medical Group | 2961496609 | 42 |
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. Kerry Robert Baum Jr allows following entities to bill medicare on his behalf.
Entity Name | Uintah Basin Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1871556217 PECOS PAC ID: 0244131944 Enrollment ID: O20040226000948 |
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Entity Name | Northeastern Utah Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1982664199 PECOS PAC ID: 2961496609 Enrollment ID: O20040414000471 |
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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. Kerry Robert Baum Jr 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 |
Kerry Robert Baum Jr, MD 250 W 300 N, Uintah Basin Medical Center, Roosevelt, UT 84066 Ph: (435) 722-4691 | Kerry Robert Baum Jr, MD 250 W 300 N, Uintah Basin Medical Center, Roosevelt, UT 84066 Ph: (435) 722-4691 |
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