Ramona Fay Bauch, PAC
Individual provider Active NPI Physician Assistant · Huntington, IN
NPI 1669411013 · NPPES record last updated May 12, 2011
Key facts
- NPI
- 1669411013
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 10000323A (IN)
- Practice address
- 1415 Flaxmill Rd
Huntington, IN 46750-8806 - Phone
- (260) 359-1250
- NPI assigned
- Jun 4, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Illinois Urgent Care Professionals PLLC
Practice addresses (Care Compare)
3019 N National Rd
Columbus, IN 47203
Phone (708) 922-0911
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
- 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 |
|---|---|---|---|---|
| I20081210000059 | IN | Practitioner - Physician Assistant | 4688735608 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10000323A | IN | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Illinois Urgent Care Professionals PLLC | Current |
Accepting new patients | |
| Redimed Dekalb LLC | Past | Accepting new patients | |
| Physicians Immediate Care LTD | Past | Accepting new patients |
Locations
7444 W Wilson Ave
Ste 102
Harwood Hts, IL 60706
Phone 2249996997101
3019 N National Rd
Columbus, IN 47201
Phone (812) 314-7617
924 W Pike St
Goshen, IN 46526
Phone (574) 312-7056
2680 Escalade Way
Warsaw, IN 46582
Phone (574) 306-4128
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 10000323A | IN | Yes |
Addresses
Primary practice location
1415 Flaxmill Rd
Huntington, IN 46750-8806
Mailing address
1415 Flaxmill Rd
Huntington, IN 46750-8806
Phone (260) 359-1250
Other providers in Huntington, IN
- Lynn Ann Baker
- Robin Baker
- Seth Baker
- Carley Balsley
- Haley Banker
- Daniel Becker
- Benjamin J Herman DC Inc
- Smita Bhat
- Ladonna Rae Biehl
- Hayden Douglas Black
All providers in Huntington, IN · Physician Assistant in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 12, 2011. 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).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.