Michael Roy Baldwin, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Plymouth, Indiana. His current practice location is
315 Eastwood Dr, Plymouth, Indiana. You can reach out to his office (for appointments etc.) via phone at
(574) 361-5857.
Michael Roy Baldwin is licensed to practice in Indiana (license number 28077464A) 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 1629176169.
Provider's Profile
Full Name | Michael Roy Baldwin |
---|
Gender | Male |
---|
Speciality | Nurse Anesthetist, Certified Registered |
---|
Location | 315 Eastwood Dr, Plymouth, Indiana |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1629176169
- Provider Enumeration Date: 09/20/2006
- Last Update Date: 08/12/2013
Medicare PECOS Information:
- PECOS PAC ID: 5395782262
- Enrollment ID: I20050412000964
Medical Identifiers
Medical identifiers for Michael Roy Baldwin such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1629176169 | NPI | - | NPPES |
200373090 | Medicaid | IN | |
000000519814 | Other | IN | ANTHEM |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
367500000X | Nurse Anesthetist, Certified Registered | 209-001985 (Illinois) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 28077464A (Indiana) | Primary |
367500000X | Nurse Anesthetist, Certified Registered | 168609 REGISTRY#4405 (Colorado) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 4704251112 (Michigan) | 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. Michael Roy Baldwin allows following entities to bill medicare on his behalf.
Entity Name | Northern Indiana Anesthesia Services, P.c. |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1083639660 PECOS PAC ID: 1456321413 Enrollment ID: O20040727001614 |
---|
Entity Name | Northstar Anesthesia Of Indiana Ii Llc |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1629475421 PECOS PAC ID: 6305161654 Enrollment ID: O20150210000088 |
---|
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. Michael Roy Baldwin 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 |
Michael Roy Baldwin, CRNA 315 Eastwood Dr, Plymouth, IN 46563-7950 Ph: (574) 361-5857 | Michael Roy Baldwin, CRNA 315 Eastwood Dr, Plymouth, IN 46563-7950 Ph: (574) 361-5857 |
Reviews and Comments