Heather Baum, - Medicare Nurse Practitioner in West Reading, PA

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Heather Baum, is a medicare enrolled "Nurse Practitioner" in West Reading, Pennsylvania. She graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Reading Hospital, Tower Health Medical Group and her current practice location is 420 S 5th Ave, West Reading, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (484) 628-5455.

Heather Baum is licensed to practice in Pennsylvania (license number SP017907) 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 1396269742.

Contact Information

Heather Baum,
420 S 5th Ave,
West Reading, PA 19611-2143
(484) 628-5455
Not Available

Map and Direction




Provider's Profile

Full NameHeather Baum
GenderFemale
SpecialityNurse Practitioner
Experience7 Years
Location420 S 5th Ave, West 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:
  • Heather Baum graduated from nursing school in 2017
  NPI Data:
  • NPI Number: 1396269742
  • Provider Enumeration Date: 07/27/2017
  • Last Update Date: 09/27/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 8729344825
  • Enrollment ID: I20171106001946

Medical Identifiers

Medical identifiers for Heather Baum such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1396269742NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner SP017907 (Pennsylvania)Primary
163WM0705XRegistered Nurse - Medical-surgical RN587997 (Pennsylvania)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Reading HospitalWest reading, PAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Reading Hospital7618886490133
Tower Health Medical Group7618889213577

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. Heather Baum allows following entities to bill medicare on her behalf.
Entity NameTower Health Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609291350
PECOS PAC ID: 7618889213
Enrollment ID: O20040311000072
Entity NameReading Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1992387518
PECOS PAC ID: 7618886490
Enrollment ID: O20040408001076
Entity NamePhoenixville Clinic Company Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891866182
PECOS PAC ID: 5799796850
Enrollment ID: O20060606000128
Entity NameChestnut Hill Clinic Company Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508936071
PECOS PAC ID: 2860492279
Enrollment ID: O20070109000509
Entity NamePottstown Clinic Company Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649341934
PECOS PAC ID: 6406857184
Enrollment ID: O20070123000573
Entity NameWest Grove Clinic Company Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790856078
PECOS PAC ID: 4789685033
Enrollment ID: O20070129000812

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. Heather 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 AddressPractice Location Address
Heather Baum,
Po Box 13579,
Reading, PA 19612-3579

Ph: (484) 628-0799		Heather Baum,
420 S 5th Ave,
West Reading, PA 19611-2143

Ph: (484) 628-5455

Reviews and Comments


Nurse Practitioner Nurses in West Reading, PA

Alyssa Shepler, CRNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 420 S 5th Ave, West Reading, PA 19611
Phone: 484-628-8000    
Jessica Phillips, CRNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 420 S 5th Ave, West Reading, PA 19611
Phone: 484-628-9797    Fax: 484-628-4076
Mrs. Gloria Jean Hutzell, CRFNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 655 Walnut St, West Reading, PA 19611
Phone: 619-372-9222    Fax: 610-372-0232
Chelsea Bissell, CRNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 420 S 5th Ave, West Reading, PA 19611
Phone: 484-628-8000    
Maria Steuer Phillips, CRNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 420 S 5th Ave, West Reading, PA 19611
Phone: 484-628-9386    
Naomi Owusu Acheampong,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 301 S 7th Ave, West Reading, PA 19611
Phone: 484-628-4656    
Ruth Schrack, CRNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 420 S 5th Ave, West Reading, PA 19611
Phone: 484-628-5455    Fax: 484-628-5772

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.