Dr Paul Thomas Barbera Jr, MD - Medicare Internal Medicine in Sparrows Point, MD

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Dr Paul Thomas Barbera Jr, MD is a medicare enrolled "Internal Medicine" physician in Sparrows Point, Maryland. He graduated from medical school in 1985 and has 39 years of diverse experience with area of expertise as Internal Medicine. His current practice location is 7566 N Point Rd, Sparrows Point, Maryland. You can reach out to his office (for appointments etc.) via phone at (410) 276-0176.

Dr Paul Thomas Barbera Jr is licensed to practice in Maryland (license number D37708) 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 1053459487.

Contact Information

Dr Paul Thomas Barbera Jr, MD
7566 N Point Rd,
Sparrows Point, MD 21219-1412
(410) 276-0176
(410) 732-1890

Map and Direction




Physician's Profile

Full NameDr Paul Thomas Barbera Jr
GenderMale
SpecialityInternal Medicine
Experience39 Years
Location7566 N Point Rd, Sparrows Point, Maryland
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 Paul Thomas Barbera Jr graduated from medical school in 1985
  NPI Data:
  • NPI Number: 1053459487
  • Provider Enumeration Date: 02/01/2007
  • Last Update Date: 07/24/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 3375636285
  • Enrollment ID: I20070910000284

Medical Identifiers

Medical identifiers for Dr Paul Thomas Barbera Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053459487NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine D37708 (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 Paul Thomas Barbera Jr allows following entities to bill medicare on his behalf.
Entity NamePaul T. Barbera M.d., P.a.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740555226
PECOS PAC ID: 3375701733
Enrollment ID: O20120215000352

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 Paul Thomas Barbera 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 Paul Thomas Barbera Jr, MD
7566 N Point Rd,
Sparrows Point, MD 21219-1412

Ph: (410) 276-0176		Dr Paul Thomas Barbera Jr, MD
7566 N Point Rd,
Sparrows Point, MD 21219-1412

Ph: (410) 276-0176

Reviews and Comments


Internal Medicine Doctors in Sparrows Point, MD


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.