Dr Carolyn Jendrek, MD is a medicare enrolled "General Practice" physician in Linthicum Heights, Maryland. Her current practice location is
705 Digital Dr Ste G, Linthicum Heights, Maryland. You can reach out to her office (for appointments etc.) via phone at
(773) 292-4800.
Dr Carolyn Jendrek is licensed to practice in Maryland (license number D0017868) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1275845638.
Physician's Profile
Full Name | Dr Carolyn Jendrek |
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Gender | Female |
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Speciality | General Practice |
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Location | 705 Digital Dr Ste G, Linthicum Heights, Maryland |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1275845638
- Provider Enumeration Date: 07/13/2010
- Last Update Date: 08/15/2016
Medicare PECOS Information:
- PECOS PAC ID: 1759691520
- Enrollment ID: I20151106000392
Medical Identifiers
Medical identifiers for Dr Carolyn Jendrek such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1275845638 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208D00000X | General Practice | D0017868 (Maryland) | 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 Carolyn Jendrek allows following entities to bill medicare on her behalf.
Entity Name | Alegis Care- Maryland Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1871195644 PECOS PAC ID: 7719388891 Enrollment ID: O20210628000010 |
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Entity Name | Monogram Health Professional Services Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1134739089 PECOS PAC ID: 4880004183 Enrollment ID: O20220807000078 |
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Entity Name | Evernorth Care Providers - Delaware Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1063284032 PECOS PAC ID: 6002217973 Enrollment ID: O20231206001646 |
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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 Carolyn Jendrek 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 Carolyn Jendrek, MD 1340 S Damen Ave Ste 400, Chicago, IL 60608-1169 Ph: (773) 292-4800 | Dr Carolyn Jendrek, MD 705 Digital Dr Ste G, Linthicum Heights, MD 21090-2267 Ph: (773) 292-4800 |
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