Kathy Eileen Baylor, MD - Medicare Family Medicine in Berwick, PA

Kathy Eileen Baylor, MD is a medicare enrolled "Family Medicine" physician in Berwick, Pennsylvania. Her current practice location is 695 E 16th St Ste B, Berwick, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (570) 759-2203.

Kathy Eileen Baylor is licensed to practice in Pennsylvania (license number MD051777L) 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 1255316030.

Contact Information

Kathy Eileen Baylor, MD
695 E 16th St Ste B,
Berwick, PA 18603-2320
(570) 759-2203
(570) 759-2253

Map and Direction




Physician's Profile

Full NameKathy Eileen Baylor
GenderFemale
SpecialityFamily Medicine
Location695 E 16th St Ste B, Berwick, Pennsylvania
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1255316030
  • Provider Enumeration Date: 12/14/2005
  • Last Update Date: 09/24/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 2163453671
  • Enrollment ID: I20050824000942

Medical Identifiers

Medical identifiers for Kathy Eileen Baylor such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1255316030NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine MD051777L (Pennsylvania)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. Kathy Eileen Baylor allows following entities to bill medicare on her behalf.
Entity NameBerwick Clinic Company Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184793127
PECOS PAC ID: 0648279620
Enrollment ID: O20061221000093

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. Kathy Eileen Baylor 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
Kathy Eileen Baylor, MD
Po Box 919,
Bloomsburg, PA 17815-0919

Ph: (570) 387-2144
Kathy Eileen Baylor, MD
695 E 16th St Ste B,
Berwick, PA 18603-2320

Ph: (570) 759-2203

Reviews and Comments


Family Medicine Doctors in Berwick, PA

Dr. Tamer Mohamed Fathy, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2200 W Front St, Berwick, PA 18603
Phone: 570-759-1228    Fax: 570-759-2017
Dr. Michael R. Ashton, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2200 W Front St, Berwick, PA 18603
Phone: 570-759-1228    Fax: 570-759-2017
Dr. Albert J Alley, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 301 West Third Street, Albert J Alley Do, Berwick, PA 18603
Phone: 570-759-0351    Fax: 570-759-1992
Ms. Michelle Lynn Hall, CRNP
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 695 E 16th St Ste B, Berwick, PA 18603
Phone: 570-752-3640    Fax: 570-752-3425
Ms. Nancy Shukry, PA-C, M.S.P.A.S.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2200 W Front St, Berwick, PA 18603
Phone: 570-759-1228    
Dr. Ali A Alley, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 301 West Third Street, Ali A Alley Md Pc, Berwick, PA 18603
Phone: 570-759-0351    Fax: 570-759-1992

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.