Dr Kenneth Raymond Lindyberg, MD in Baltimore, MD

Dr Kenneth Raymond Lindyberg, MD is a medicare enrolled "General Practice" physician in Baltimore, Maryland. His current practice location is 6701 N Charles St, Suite 4430, Baltimore, Maryland. You can reach out to his office (for appointments etc.) via phone at (443) 849-6212.

Dr Kenneth Raymond Lindyberg is licensed to practice in Maryland (license number D0047056) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1366483919.

Contact Information

	Dr Kenneth Raymond Lindyberg, MD
	6701 N Charles St, Suite 4430, Baltimore, MD 21204
	(443) 849-6212
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Kenneth Raymond Lindyberg
Gender	Male
Speciality	General Practice
Location	6701 N Charles St, Baltimore, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1366483919
Provider Enumeration Date: 06/08/2006
Last Update Date: 01/31/2022

Medicare PECOS Information:

PECOS PAC ID: 7810909603
Enrollment ID: I20060616000193

Medical Identifiers

Medical identifiers for Dr Kenneth Raymond Lindyberg such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1366483919	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	D47056 (Maryland)	Secondary
208600000X	Surgery	D0047056 (Maryland)	Secondary
208D00000X	General Practice	D0047056 (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 Kenneth Raymond Lindyberg allows following entities to bill medicare on his behalf.

Entity Name	Genesis Eldercare Physician Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881635183 PECOS PAC ID: 9830002534 Enrollment ID: O20050124000329

Entity Name	Gps Physician Group, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881109452 PECOS PAC ID: 9739447400 Enrollment ID: O20180117001189

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 Raymond Lindyberg 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 Kenneth Raymond Lindyberg, MD 2916 Greene Rd, Baldwin, MD 21013-9102 Ph: (410) 557-0451	Dr Kenneth Raymond Lindyberg, MD 6701 N Charles St, Suite 4430, Baltimore, MD 21204 Ph: (443) 849-6212

Reviews and Comments

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Dr Kenneth Raymond Lindyberg, MD - Medicare General Practice in Baltimore, MD