Mina Baisch, NP is a medicare enrolled "Nurse Practitioner - Family" physician in Philadelphia, Pennsylvania. Her current practice location is
3601 A St, Philadelphia, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(413) 588-4838.
Mina Baisch is licensed to practice in Pennsylvania (license number SP013211) 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 1124188404.
Physician's Profile
| Full Name | Mina Baisch |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 3601 A St, Philadelphia, Pennsylvania |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1124188404
- Provider Enumeration Date: 12/09/2006
- Last Update Date: 10/08/2013
Medicare PECOS Information:
- PECOS PAC ID: 2264447952
- Enrollment ID: I20160725000857
Medical Identifiers
Medical identifiers for Mina Baisch such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1124188404 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208000000X | Pediatrics | RN2257867 (Massachusetts) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | SP013211 (Pennsylvania) | Primary |
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. Mina Baisch allows following entities to bill medicare on her behalf.
| Entity Name | Einstein Practice Plan Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1760434468
PECOS PAC ID: 2769395896
Enrollment ID: O20040219000728 |
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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. Mina Baisch 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 |
|---|
Mina Baisch, NP
3601 A St, Attn: Credentialing,
Philadelphia, PA 19134-1043
Ph: (413) 588-4838 | Mina Baisch, NP
3601 A St,
Philadelphia, PA 19134-1043
Ph: (413) 588-4838 |
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