Dr Shaun Mcdonald Baillie, CRNP - Medicare Nurse Practitioner in Reading, PA

Dr Shaun Mcdonald Baillie, CRNP is a medicare enrolled "Nurse Practitioner - Gerontology" in Reading, Pennsylvania. His current practice location is 1623 Morgantown Rd, Reading, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (866) 501-5962.

Dr Shaun Mcdonald Baillie is licensed to practice in Pennsylvania (license number SP030203) 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 1699471706.

Contact Information

Dr Shaun Mcdonald Baillie, CRNP
1623 Morgantown Rd,
Reading, PA 19607-9455
(866) 501-5962
Not Available

Map and Direction




Provider's Profile

Full NameDr Shaun Mcdonald Baillie
GenderMale
SpecialityNurse Practitioner - Gerontology
Location1623 Morgantown Rd, Reading, Pennsylvania
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1699471706
  • Provider Enumeration Date: 02/01/2023
  • Last Update Date: 10/25/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 2769848712
  • Enrollment ID: I20230516003726

Medical Identifiers

Medical identifiers for Dr Shaun Mcdonald Baillie such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1699471706NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP2300XNurse Practitioner - Primary Care APN.0998356-NP (Colorado)Secondary
363LG0600XNurse Practitioner - Gerontology SP030203 (Pennsylvania)Primary
363LF0000XNurse Practitioner - Family APN0998356-NP (Colorado)Secondary
363L00000XNurse Practitioner APN.0998356-NP (Colorado)Secondary

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. Dr Shaun Mcdonald Baillie allows following entities to bill medicare on his behalf.
Entity NameSummit Medical Consultants Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265822910
PECOS PAC ID: 0547589517
Enrollment ID: O20150427000047
Entity NameSummit Medical Consultants Aco Prof Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891471207
PECOS PAC ID: 2961865993
Enrollment ID: O20230824000305

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. Dr Shaun Mcdonald Baillie 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
Dr Shaun Mcdonald Baillie, CRNP
141 Round Hill Ln,
Lancaster, PA 17603-9493

Ph: (106) 730-3157
Dr Shaun Mcdonald Baillie, CRNP
1623 Morgantown Rd,
Reading, PA 19607-9455

Ph: (866) 501-5962

Reviews and Comments


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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.