Dr Joseph Gothilf Baum, PHD is a medicare enrolled "Psychologist - Clinical" provider in Gulfport, Florida. His current practice location is
5301 Gulfport Blvd S, Gulfport, Florida. You can reach out to his office (for appointments etc.) via phone at
(727) 894-9777.
Dr Joseph Gothilf Baum is licensed to practice in Florida (license number PY4190) 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 1508893249.
Healthcare Provider's Profile
| Full Name | Dr Joseph Gothilf Baum |
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| Gender | Male |
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| Speciality | Psychologist - Clinical |
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| Location | 5301 Gulfport Blvd S, Gulfport, Florida |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1508893249
- Provider Enumeration Date: 06/27/2006
- Last Update Date: 01/31/2015
Medicare PECOS Information:
- PECOS PAC ID: 8628039765
- Enrollment ID: I20041022000301
Medical Identifiers
Medical identifiers for Dr Joseph Gothilf Baum such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1508893249 | NPI | - | NPPES |
| 6156253 | Other | FL | UBH PROVIDER ID# |
| 010152 | Other | FL | VALUEOPTIONS PROVIDER # |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TC0700X | Psychologist - Clinical | PY4190 (Florida) | 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. Dr Joseph Gothilf Baum allows following entities to bill medicare on his behalf.
| Entity Name | Center For Human Potential Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1588838510
PECOS PAC ID: 8628227741
Enrollment ID: O20121005000207 |
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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. Dr Joseph Gothilf 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 |
|---|
Dr Joseph Gothilf Baum, PHD
5301 Gulfport Blvd S,
Gulfport, FL 33707-4947
Ph: (727) 894-9777 | Dr Joseph Gothilf Baum, PHD
5301 Gulfport Blvd S,
Gulfport, FL 33707-4947
Ph: (727) 894-9777 |
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