Dr Judith Rubin Dejarnette, MD - Medicare Pediatrics in Nottingham, MD

  1. Home
  2. Pediatrics
  3. MD
  4. Nottingham
Dr Judith Rubin Dejarnette, MD is a medicare enrolled "Pediatrics" physician in Nottingham, Maryland. Her current practice location is 4920 Campbell Blvd, Nottingham, Maryland. You can reach out to her office (for appointments etc.) via phone at (410) 933-7600.

Dr Judith Rubin Dejarnette is licensed to practice in Maryland (license number D31652) 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 1841355179.

Contact Information

Dr Judith Rubin Dejarnette, MD
4920 Campbell Blvd,
Nottingham, MD 21236-5916
(410) 933-7600
Not Available

Map and Direction




Physician's Profile

Full NameDr Judith Rubin Dejarnette
GenderFemale
SpecialityPediatrics
Location4920 Campbell Blvd, Nottingham, Maryland
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1841355179
  • Provider Enumeration Date: 12/27/2006
  • Last Update Date: 01/10/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 1355478942
  • Enrollment ID: I20100430000475

Medical Identifiers

Medical identifiers for Dr Judith Rubin Dejarnette such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1841355179NPI-NPPES
406601440MedicaidMD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 0101058716 (Virginia)Secondary
208000000XPediatrics MD038482 (District Of Columbia)Secondary
208000000XPediatrics D31652 (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 Judith Rubin Dejarnette allows following entities to bill medicare on her behalf.
Entity NameKaiser Foundation Health Plan Of The Mid-atlantic States, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043378656
PECOS PAC ID: 3779495858
Enrollment ID: O20080519000558

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 Judith Rubin Dejarnette 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 AddressPractice Location Address
Dr Judith Rubin Dejarnette, MD
2101 E Jefferson St, Kaiser Permanente Medicare Enrollment,
Rockville, MD 20852-4908

Ph: (301) 816-2424		Dr Judith Rubin Dejarnette, MD
4920 Campbell Blvd,
Nottingham, MD 21236-5916

Ph: (410) 933-7600

Reviews and Comments


Pediatrics Doctors in Nottingham, MD

Smita N Vazarkar, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 4924 Campbell Blvd Ste 200, Nottingham, MD 21236
Phone: 443-442-2300    
Christina Margaret Brown, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 4920 Campbell Blvd, Nottingham, MD 21236
Phone: 410-933-7600    Fax: 410-933-7601
Ethel Mojoko, M.D.
Pediatrics
Medicare: Accepting Medicare Assignments
Practice Location: 4924 Campbell Blvd, #200, Nottingham, MD 21236
Phone: 443-442-2300    
Kristen Shaw Deitchman, D.O.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 4924 Campbell Blvd, Suite 200, Nottingham, MD 21236
Phone: 443-442-2300    Fax: 410-367-2035
Dr. Anthony F Pinto Iii, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 4924 Campbell Blvd Ste 200, Nottingham, MD 21236
Phone: 443-442-2300    
Dr. Richard Laroy Dietrich, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 4920 Campbell Blvd, Kaiser Permanente White Marsh Medical Center, Nottingham, MD 21236
Phone: 410-933-7600    Fax: 410-933-7802

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.