MEDICARE: DR. PAUL S BAECHER M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	80699	MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	000000053797	OTHER	MA	BMC HEALTH NET
2	4027993	OTHER	MA	AETNA
3	1164004	OTHER	MA	FALLON
4	1558360487	OTHER	MA	NPI
5	24211	OTHER	MA	HNE
6	775513	OTHER	MA	TUFTS
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8	7256788	OTHER	MA	CIGNA
9	J21010	OTHER	MA	BLUE CROSS & BLUE SHIELD
10	080699	OTHER	MA	CONNECTICARE
11	710698	OTHER	MA	HPHC

General Provider Information

NPI Number	:	1558360487
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PAUL S BAECHER M.D.

Provider Business Mailing Address
First Line	:	29 COTTAGE ST STE D
Second Line	:
City	:	AMHERST
State	:	MA
Zip	:	01002-2178
Country	:	US
Telephone Number	:	413-549-8400
Fax Number	:	413-549-8409

Provider Business Practice Location Address
First Line	:	29 COTTAGE ST STE D
Second Line	:	KATHERINE J. ATKINSON, MD, PC
City	:	AMHERST
State	:	MA
Zip	:	01002-2178
Country	:	US
Telephone Number	:	413-549-8400
Fax Number	:	413-549-8409

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/21/2005
Last Update Date	:	01/15/2009

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