Karen Gayle Ganacias, MD - Medicare Pediatrics in Severna Park, MD

Karen Gayle Ganacias, MD is a medicare enrolled "Pediatrics" physician in Severna Park, Maryland. Her current practice location is 692a Ritchie Hwy, Severna Park, Maryland. You can reach out to her office (for appointments etc.) via phone at (410) 721-2273.

Karen Gayle Ganacias is licensed to practice in Maryland (license number D86067) 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 1174834865.

Contact Information

Karen Gayle Ganacias, MD
692a Ritchie Hwy,
Severna Park, MD 21146-3971
(410) 721-2273
Not Available

Map and Direction




Physician's Profile

Full NameKaren Gayle Ganacias
GenderFemale
SpecialityPediatrics
Location692a Ritchie Hwy, Severna Park, Maryland
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1174834865
  • Provider Enumeration Date: 06/28/2010
  • Last Update Date: 09/27/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 6901224039
  • Enrollment ID: I20200922000696

Medical Identifiers

Medical identifiers for Karen Gayle Ganacias such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174834865NPI-NPPES
PENDINGMedicaidMD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics D86067 (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. Karen Gayle Ganacias allows following entities to bill medicare on her behalf.
Entity NameMgmc Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891797148
PECOS PAC ID: 9537073119
Enrollment ID: O20031220000056
Entity NameGuh-kids Mobile Medical Clinic Program Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1194374710
PECOS PAC ID: 8426389990
Enrollment ID: O20191015000258

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. Karen Gayle Ganacias 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
Karen Gayle Ganacias, MD
1600 Granby St Apt 456,
Norfolk, VA 23510-2661

Ph: (913) 683-5707
Karen Gayle Ganacias, MD
692a Ritchie Hwy,
Severna Park, MD 21146-3971

Ph: (410) 721-2273

Reviews and Comments


Pediatrics Doctors in Severna Park, MD

Mrs. Jacalyn Gordon Ginsberg, DO
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 844 Ritchie Hwy, Suite 206, Severna Park, MD 21176
Phone: 410-647-8306    Fax: 410-315-8444
Faith Alice Hackett, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 844 Ritchie Hwy, Suite 206, Severna Park, MD 21146
Phone: 410-647-8300    Fax: 410-315-8444
Dr. Robert G. Gibson, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 692 Ritchie Hwy # A, Severna Park, MD 21146
Phone: 441-054-4514    

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.