Dr Kenneth Joseph Maiocco, MD in Bridgeport, CT

Dr Kenneth Joseph Maiocco, MD is a medicare enrolled "Dermatology" physician in Bridgeport, Connecticut. His current practice location is 4639 Main St, Bridgeport, Connecticut. You can reach out to his office (for appointments etc.) via phone at (203) 374-5546.

Dr Kenneth Joseph Maiocco is licensed to practice in Connecticut (license number 013652) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1144280637.

Contact Information

	Dr Kenneth Joseph Maiocco, MD
	4639 Main St, Bridgeport, CT 06606-1838
	(203) 374-5546
	(203) 371-4056

Map and Direction

Physician's Profile

Full Name	Dr Kenneth Joseph Maiocco
Gender	Male
Speciality	Dermatology
Location	4639 Main St, Bridgeport, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1144280637
Provider Enumeration Date: 03/27/2006
Last Update Date: 02/06/2019

Medicare PECOS Information:

PECOS PAC ID: 4385816321
Enrollment ID: I20111017000430

Medical Identifiers

Medical identifiers for Dr Kenneth Joseph Maiocco such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1144280637	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207N00000X	Dermatology	013652 (Connecticut)	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 Kenneth Joseph Maiocco allows following entities to bill medicare on his behalf.

Entity Name	Integrated Dermatology Of Clinton Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1457728883 PECOS PAC ID: 7416257381 Enrollment ID: O20151125000408

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 Joseph Maiocco 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 Joseph Maiocco, MD 4639 Main St, Bridgeport, CT 06606-1838 Ph: (203) 374-5546	Dr Kenneth Joseph Maiocco, MD 4639 Main St, Bridgeport, CT 06606-1838 Ph: (203) 374-5546

Reviews and Comments

Dermatology Doctors in Bridgeport, CT

Dr. Edward Isaac Herman, M.D., PH.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2800 Main St, Bridgeport, CT 06606 Phone: 203-576-6000
Joseph Raymond Pesce, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 4699 Main St, Suite 212, Bridgeport, CT 06606 Phone: 203-372-8949 Fax: 203-374-9296
Dr. Katherine Jane Pesce, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 4699 Main St, Suite 212, Bridgeport, CT 06606 Phone: 203-372-8949 Fax: 203-372-9296

Dr Kenneth Joseph Maiocco, MD - Medicare Dermatology in Bridgeport, CT