Peter Baum, MD is a medicare enrolled "Allergy & Immunology - Allergy" physician in Sycamore, Illinois. His current practice location is
1850 Gateway Dr, Sycamore, Illinois. You can reach out to his office (for appointments etc.) via phone at
(815) 758-8671.
Peter Baum is licensed to practice in Illinois (license number 036-061024) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1164431391.
Physician's Profile
Full Name | Peter Baum |
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Gender | Male |
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Speciality | Allergy & Immunology - Allergy |
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Location | 1850 Gateway Dr, Sycamore, Illinois |
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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: 1164431391
- Provider Enumeration Date: 08/05/2006
- Last Update Date: 10/28/2011
Medicare PECOS Information:
- PECOS PAC ID: 2961308275
- Enrollment ID: I20110210000192
Medical Identifiers
Medical identifiers for Peter Baum such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1164431391 | NPI | - | NPPES |
036061024 | Medicaid | IL | |
008447 | Other | IL | HEALTH ALLIANCE |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207KA0200X | Allergy & Immunology - Allergy | 036-061024 (Illinois) | 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. Peter Baum allows following entities to bill medicare on his behalf.
Entity Name | Kishwaukee Physician Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1932480605 PECOS PAC ID: 3870768054 Enrollment ID: O20111216000435 |
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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. Peter 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 |
Peter Baum, MD 1850 Gateway Dr, Sycamore, IL 60178-3192 Ph: (815) 758-8671 | Peter Baum, MD 1850 Gateway Dr, Sycamore, IL 60178-3192 Ph: (815) 758-8671 |
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