Nicole Baumgartner-fernandez, DO - Medicare Internal Medicine in Reading, PA

Nicole Baumgartner-fernandez, DO is a medicare enrolled "Internal Medicine" physician in Reading, Pennsylvania. She graduated from medical school in 2016 and has 8 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice St Joseph Medical Group, Hospitalist Medicine Physicians Of Pennsylvania Pc and her current practice location is 2500 Bernville Rd, Reading, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (610) 378-2000.

Nicole Baumgartner-fernandez is licensed to practice in Pennsylvania (license number OS022984) 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 1003266396.

Contact Information

Nicole Baumgartner-fernandez, DO
2500 Bernville Rd,
Reading, PA 19605-9453
(610) 378-2000
(610) 378-2799

Map and Direction




Physician's Profile

Full NameNicole Baumgartner-fernandez
GenderFemale
SpecialityInternal Medicine
Experience8 Years
Location2500 Bernville Rd, Reading, Pennsylvania
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:
  • Nicole Baumgartner-fernandez graduated from medical school in 2016
  NPI Data:
  • NPI Number: 1003266396
  • Provider Enumeration Date: 06/16/2016
  • Last Update Date: 08/02/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 4880921287
  • Enrollment ID: I20230816003789

Medical Identifiers

Medical identifiers for Nicole Baumgartner-fernandez such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003266396NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine U04866 (Florida)Secondary
207R00000XInternal Medicine OP61241760 (Washington)Secondary
207R00000XInternal Medicine OS022984 (Pennsylvania)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Joseph Medical CenterReading, PAHospital
Einstein Medical Center MontgomeryEast norriton, PAHospital
Milton S Hershey Medical CenterHershey, PAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
St Joseph Medical Group3779688650174
Hospitalist Medicine Physicians Of Pennsylvania Pc923430984052

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. Nicole Baumgartner-fernandez allows following entities to bill medicare on her behalf.
Entity NameSt Joseph Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184754657
PECOS PAC ID: 3779688650
Enrollment ID: O20070421000011
Entity NameHospitalist Medicine Physicians Of Pennsylvania Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639464308
PECOS PAC ID: 9234309840
Enrollment ID: O20110908001888

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. Nicole Baumgartner-fernandez 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
Nicole Baumgartner-fernandez, DO
500 University Dr,
Hershey, PA 17033-2360

Ph: (610) 208-4648
Nicole Baumgartner-fernandez, DO
2500 Bernville Rd,
Reading, PA 19605-9453

Ph: (610) 378-2000

Reviews and Comments


Internal Medicine Doctors in Reading, PA

Dr. John Claymon Heisey Jr., M.D.
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 4885 Demoss Rd, Suite 200, Reading, PA 19606
Phone: 610-779-0300    Fax: 610-779-8083
Elliott G Leisawitz, M.D.
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1020 Grings Hill Rd, Reading, PA 19608
Phone: 610-898-5030    Fax: 610-777-3474
Amal George Kebede, DO
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 2494 Bernville Road, Suite 205, Reading, PA 19605
Phone: 610-378-2996    Fax: 610-208-8812
Dr. Vijay Singh, M,D,
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3970 Perkiomen Ave, Suite 102, Reading, PA 19606
Phone: 610-779-1330    Fax: 610-779-7699
Mary J. Bonner, M.D.
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1020 Grings Hill Rd, Reading, PA 19608
Phone: 610-898-5030    Fax: 610-777-3474
Jacob D Pletz, MD
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 2500 Bernville Rd, Reading, PA 19605
Phone: 610-378-2000    

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.