Matilda Rose Kennedy-butler, is a medicare enrolled "Audiologist" provider in Berlin, Maryland. She graduated from medical school in 2023 and has 3 years of diverse experience with area of expertise as Qualified Audiologist. She is a member of the group practice Eastern Shore Ent And Allergy, Mobile Audiology Associates Pc, Mobile Audiology Associates Pc and her current practice location is
10344 Old Ocean City Blvd, Berlin, Maryland. You can reach out to her office (for appointments etc.) via phone at
(410) 641-4582.
Matilda Rose Kennedy-butler is licensed to practice in Maryland (license number 01639) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1518641000.
Healthcare Provider's Profile
| Full Name | Matilda Rose Kennedy-butler |
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| Gender | Female |
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| Speciality | Qualified Audiologist |
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| Experience | 3 Years |
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| Location | 10344 Old Ocean City Blvd, Berlin, Maryland |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Matilda Rose Kennedy-butler graduated from medical school in 2023
NPI Data:
- NPI Number: 1518641000
- Provider Enumeration Date: 06/14/2023
- Last Update Date: 04/06/2026
Medicare PECOS Information:
- PECOS PAC ID: 1850735739
- Enrollment ID: I20240219003485
Medical Identifiers
Medical identifiers for Matilda Rose Kennedy-butler such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1518641000 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 231H00000X | Audiologist | 01639 (Maryland) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Eastern Shore Ent And Allergy | 7012939663 | 9 |
| Mobile Audiology Associates Pc | 3678465283 | 27 |
| Mobile Audiology Associates Pc | 3678465283 | 27 |
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. Matilda Rose Kennedy-butler allows following entities to bill medicare on her behalf.
| Provider Name | Eastern Shore Ent & Allergy |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1154308021 PECOS PAC ID: 7012939663 Enrollment ID: O20051222000542 |
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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. Matilda Rose Kennedy-butler 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 |
Matilda Rose Kennedy-butler, 10344 Old Ocean City Blvd Ste 1, Berlin, MD 21811-1162 Ph: (410) 641-4582 | Matilda Rose Kennedy-butler, 10344 Old Ocean City Blvd, Berlin, MD 21811-1162 Ph: (410) 641-4582 |
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