Dr Kenneth Charles Civello Jr, MD, MPH - Medicare Cardiovascular Disease (cardiology) in Baton Rouge, LA

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Dr Kenneth Charles Civello Jr, MD, MPH is a medicare enrolled "Internal Medicine - Clinical Cardiac Electrophysiology" physician in Baton Rouge, Louisiana. He went to Louisiana State University School Of Medicine In New Orleans and graduated in 1999 and has 25 years of diverse experience with area of expertise as Cardiovascular Disease (cardiology). He is a member of the group practice Our Lady Of The Lake Physician Group Llc, Baton Rouge General Physicians Inc and his current practice location is 7777 Hennessy Blvd, Suite 1000, Baton Rouge, Louisiana. You can reach out to his office (for appointments etc.) via phone at (225) 767-3900.

Dr Kenneth Charles Civello Jr is licensed to practice in Louisiana (license number 201354) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1699745562.

Contact Information

Dr Kenneth Charles Civello Jr, MD, MPH
7777 Hennessy Blvd, Suite 1000,
Baton Rouge, LA 70808-4300
(225) 767-3900
(225) 766-2226

Map and Direction




Physician's Profile

Full NameDr Kenneth Charles Civello Jr
GenderMale
SpecialityCardiovascular Disease (cardiology)
Experience25 Years
Location7777 Hennessy Blvd, Baton Rouge, Louisiana
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Kenneth Charles Civello Jr attended and graduated from Louisiana State University School Of Medicine In New Orleans in 1999
  NPI Data:
  • NPI Number: 1699745562
  • Provider Enumeration Date: 01/24/2006
  • Last Update Date: 02/11/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 3375506553
  • Enrollment ID: I20070511000238

Medical Identifiers

Medical identifiers for Dr Kenneth Charles Civello Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1699745562NPI-NPPES
1006122OtherOHQUAL
1108910MedicaidLA
114845OtherOHKAISER
E84798OtherOHSUMMA
000000364128OtherOHANTHEM
P00225594OtherRAILROAD MEDICARE
2515157MedicaidOH

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RC0000XInternal Medicine - Cardiovascular Disease 201354 (Louisiana)Secondary
207RC0000XInternal Medicine - Cardiovascular Disease 35084798 (Ohio)Secondary
207RC0001XInternal Medicine - Clinical Cardiac Electrophysiology 35084798 (Ohio)Secondary
207RC0001XInternal Medicine - Clinical Cardiac Electrophysiology 201354 (Louisiana)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Our Lady Of The Lake Regional Medical CenterBaton rouge, LAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Our Lady Of The Lake Physician Group Llc4587849781521
Baton Rouge General Physicians Inc519362364397

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 Kenneth Charles Civello Jr allows following entities to bill medicare on his behalf.
Entity NameLsuhn Billing Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1992975775
PECOS PAC ID: 0446337802
Enrollment ID: O20080409000372
Entity NameOur Lady Of The Lake Physician Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356643399
PECOS PAC ID: 1658552971
Enrollment ID: O20110221000142
Entity NameOur Lady Of The Lake Physician Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033494943
PECOS PAC ID: 4587849781
Enrollment ID: O20120529000377
Entity NameBaton Rouge General Physicians Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609134766
PECOS PAC ID: 5193623643
Enrollment ID: O20120621000448
Entity NameRiverside Medical Center
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1700874062
PECOS PAC ID: 3173430196
Enrollment ID: O20151230002124

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 Kenneth Charles Civello 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 AddressPractice Location Address
Dr Kenneth Charles Civello Jr, MD, MPH
5959 S Sherwood Forest Blvd,
Baton Rouge, LA 70816-6038

Ph: (222) 526-0001		Dr Kenneth Charles Civello Jr, MD, MPH
7777 Hennessy Blvd, Suite 1000,
Baton Rouge, LA 70808-4300

Ph: (225) 767-3900

Reviews and Comments


Internal Medicine Doctors in Baton Rouge, LA

Dr. Jennifer L Rippon, D.O.
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Phone: 225-765-5864    Fax: 225-765-2013
Gregory Fusilier, M.D.
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Patricia D. Whatley, MD
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Frederick Cerise,
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Nicholas Kyle Baldwin,
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Dr. Jon Richard Jackson, M.D.
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Phone: 225-765-4050    Fax: 225-765-4046

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.