Dr Kenneth Charles Civello Jr, MD, MPH in Baton Rouge, LA - Medicare Cardiovascular Disease (cardiology)

Dr Kenneth Charles Civello Jr, MD, MPH is a medicare enrolled "Internal Medicine - Clinical Cardiac Electrophysiology" physician in Baton Rouge, Louisiana. He went to Louisiana State University School Of Medicine In New Orleans and graduated in 1999 and has 25 years of diverse experience with area of expertise as Cardiovascular Disease (cardiology). He is a member of the group practice Baton Rouge General Physicians Inc, Our Lady Of The Lake Physician Group Llc and his current practice location is 7777 Hennessy Blvd, Suite 1000, Baton Rouge, Louisiana. You can reach out to his office (for appointments etc.) via phone at (225) 767-3900.

Dr Kenneth Charles Civello Jr is licensed to practice in Louisiana (license number 201354) 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 1699745562.

Contact Information

	Dr Kenneth Charles Civello Jr, MD, MPH
	7777 Hennessy Blvd, Suite 1000, Baton Rouge, LA 70808-4300
	(225) 767-3900
	(225) 766-2226

Map and Direction

Physician's Profile

Full Name	Dr Kenneth Charles Civello Jr
Gender	Male
Speciality	Cardiovascular Disease (cardiology)
Experience	25 Years
Location	7777 Hennessy Blvd, Baton Rouge, Louisiana
Accepts Medicare Assignments	Yes. 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 Kenneth Charles Civello Jr attended and graduated from Louisiana State University School Of Medicine In New Orleans in 1999

NPI Data:

NPI Number: 1699745562
Provider Enumeration Date: 01/24/2006
Last Update Date: 02/11/2021

Medicare PECOS Information:

PECOS PAC ID: 3375506553
Enrollment ID: I20070511000238

Medical Identifiers

Medical identifiers for Dr Kenneth Charles Civello Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1699745562	NPI	-	NPPES
1006122	Other	OH	QUAL
1108910	Medicaid	LA
114845	Other	OH	KAISER
E84798	Other	OH	SUMMA
000000364128	Other	OH	ANTHEM
P00225594	Other		RAILROAD MEDICARE
2515157	Medicaid	OH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RC0000X	Internal Medicine - Cardiovascular Disease	201354 (Louisiana)	Secondary
207RC0000X	Internal Medicine - Cardiovascular Disease	35084798 (Ohio)	Secondary
207RC0001X	Internal Medicine - Clinical Cardiac Electrophysiology	35084798 (Ohio)	Secondary
207RC0001X	Internal Medicine - Clinical Cardiac Electrophysiology	201354 (Louisiana)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Our Lady Of The Lake Regional Medical Center	Baton rouge, LA	Hospital
Baton Rouge General Medical Center	Baton rouge, LA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Baton Rouge General Physicians Inc	5193623643	95
Our Lady Of The Lake Physician Group Llc	4587849781	521

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 Charles Civello Jr allows following entities to bill medicare on his behalf.

Entity Name	Lsuhn Billing Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1992975775 PECOS PAC ID: 0446337802 Enrollment ID: O20080409000372

Entity Name	Our Lady Of The Lake Physician Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356643399 PECOS PAC ID: 1658552971 Enrollment ID: O20110221000142

Entity Name	Our Lady Of The Lake Physician Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033494943 PECOS PAC ID: 4587849781 Enrollment ID: O20120529000377

Entity Name	Baton Rouge General Physicians Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609134766 PECOS PAC ID: 5193623643 Enrollment ID: O20120621000448

Entity Name	Riverside Medical Center
Entity Type	Part A Provider - Critical Access Hospital
Entity Identifiers	NPI Number: 1700874062 PECOS PAC ID: 3173430196 Enrollment ID: O20151230002124

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 Charles Civello 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 Address	Practice Location Address
Dr Kenneth Charles Civello Jr, MD, MPH 5959 S Sherwood Forest Blvd, Baton Rouge, LA 70816-6038 Ph: (222) 526-0001	Dr Kenneth Charles Civello Jr, MD, MPH 7777 Hennessy Blvd, Suite 1000, Baton Rouge, LA 70808-4300 Ph: (225) 767-3900

Reviews and Comments

Internal Medicine Doctors in Baton Rouge, LA

Dr. Jennifer L Rippon, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 7777 Hennessy Blvd Ste 409, Baton Rouge, LA 70808 Phone: 225-765-5864 Fax: 225-765-2013
Gregory Fusilier, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 9103 Jefferson Hwy, Baton Rouge, LA 70809 Phone: 225-927-1190 Fax: 225-927-0988
Dr. Yolanda Maria O'rourke, Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 7968 Essen Park, Baton Rouge, LA 70809 Phone: 225-761-6700 Fax: 225-761-6760
Patricia D. Whatley, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 7373 Perkins Rd, Attn: Dee / Administration, Baton Rouge, LA 70808 Phone: 225-769-4044
Frederick Cerise, Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 3810 W Lakeshore Dr, Baton Rouge, LA 70808 Phone: 225-578-8886
Dr. Jon Richard Jackson, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5000 Hennessy Blvd, Baton Rouge, LA 70808 Phone: 225-765-4050 Fax: 225-765-4046
Richard Frank Burroughs, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: Earl K. Long Hospital, Lsu Unit, 5825 Airline Highway, Baton Rouge, LA 70805 Phone: 225-358-3938

Dr Kenneth Charles Civello Jr, MD, MPH - Medicare Cardiovascular Disease (cardiology) in Baton Rouge, LA