Rachel Baldick, PA-C
Individual provider Active NPI Medical Physician Assistant · Hartford, CT
NPI 1487463287 · NPPES record last updated Jan 21, 2025
Key facts
- NPI
- 1487463287
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- License
- 23.006951 (CT)
- Practice address
- 80 Seymour St
Hartford, CT 06106-3300 - Phone
- (860) 545-5000
- NPI assigned
- Jan 6, 2025
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250130002399 | CT | Practitioner - Physician Assistant | 7012446321 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23.006951 | CT | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Connecticut Children'S Specialty Group, Inc. | Current |
Accepting new patients |
Locations
10 Columbus Blvd
Fl 4
Hartford, CT 06106
Phone (860) 837-5560
80 Seymour St
Hartford, CT 06106
Phone (860) 545-2249
282 Washington St
Hartford, CT 06106
Phone (860) 545-8950
10 Columbus Blvd
Hartford, CT 06106
Phone (860) 837-5619
100 Grand St
New Britain, CT 06052
Phone (860) 224-5011
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | |||
| Medical Physician Assistant | 363AM0700X | 23.006951 | CT | Yes |
Addresses
Primary practice location
80 Seymour St
Hartford, CT 06106-3300
Mailing address
25 Glenbrook Rd Apt 513
Stamford, CT 06902-2875
Phone (860) 308-3128
Other practice location 1
282 Washington St
Hartford, CT 06106-3322
Phone (860) 545-9000
Other practice location 2
100 Grand St
New Britain, CT 06052-2016
Phone (860) 224-5011
Other providers in Hartford, CT
- William Leslie Baker Jr.
- Seema Prakash Bakhru
- Brenda Estefania Balarezo
- Fadel Balawi
- Patricia L. Balcom
- Laurel E Baldwin-Ragaven
- Katherine Rudich Baldwin
- Natane Baldwin
- Jessica Bali
- Fiona Christina Ball
All providers in Hartford, CT · Medical Physician Assistant in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 21, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.