Dr Glenn P Kimball Jr, MD is a medicare enrolled "Ophthalmology" physician in Haverhill, Massachusetts. He went to Boston University School Of Medicine and graduated in 1983 and has 41 years of diverse experience with area of expertise as Ophthalmology. He is a member of the group practice Mass General Brigham Medical Group, Inc. and his current practice location is
680 Main St, Haverhill, Massachusetts. You can reach out to his office (for appointments etc.) via phone at
(978) 374-4258.
Dr Glenn P Kimball Jr is licensed to practice in Massachusetts (license number 57624) and he also participates in the medicare program. He
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1265428924.
Physician's Profile
Full Name | Dr Glenn P Kimball Jr |
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Gender | Male |
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Speciality | Ophthalmology |
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Experience | 41 Years |
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Location | 680 Main St, Haverhill, Massachusetts |
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Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Dr Glenn P Kimball Jr attended and graduated from Boston University School Of Medicine in 1983
NPI Data:
- NPI Number: 1265428924
- Provider Enumeration Date: 09/27/2005
- Last Update Date: 12/17/2007
Medicare PECOS Information:
- PECOS PAC ID: 8426951765
- Enrollment ID: I20230117000064
Medical Identifiers
Medical identifiers for Dr Glenn P Kimball Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1265428924 | NPI | - | NPPES |
3035913 | Medicaid | MA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207W00000X | Ophthalmology | 57624 (Massachusetts) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Mass General Brigham Medical Group, Inc. | 3971987108 | 87 |
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 Glenn P Kimball Jr allows following entities to bill medicare on his behalf.
Entity Name | Mass General Brigham Medical Group, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1083360200 PECOS PAC ID: 3971987108 Enrollment ID: O20220907001020 |
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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 Glenn P Kimball Jr 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 Glenn P Kimball Jr, MD 680 Main St, Haverhill, MA 01830-2644 Ph: (978) 374-4258 | Dr Glenn P Kimball Jr, MD 680 Main St, Haverhill, MA 01830-2644 Ph: (978) 374-4258 |
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