Dr Kenneth Patrick Judd, MD is a medicare enrolled "Dermatology" physician in Cambridge, Maryland. His current practice location is
100 Bramble St, Suite 1, Cambridge, Maryland. You can reach out to his office (for appointments etc.) via phone at
(410) 228-8106.
Dr Kenneth Patrick Judd is licensed to practice in Maryland (license number D22122) 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 1366416810.
Physician's Profile
| Full Name | Dr Kenneth Patrick Judd |
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| Gender | Male |
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| Speciality | Dermatology |
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| Location | 100 Bramble St, Cambridge, Maryland |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1366416810
- Provider Enumeration Date: 02/13/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 2365583853
- Enrollment ID: I20180327000060
Medical Identifiers
Medical identifiers for Dr Kenneth Patrick Judd such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1366416810 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207N00000X | Dermatology | D22122 (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. Dr Kenneth Patrick Judd allows following entities to bill medicare on his behalf.
| Entity Name | Skin Fix Sc Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1801540414 PECOS PAC ID: 2163819137 Enrollment ID: O20220420002803 |
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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. Dr Kenneth Patrick Judd 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 Patrick Judd, MD 1758 Travers Wharf Rd, Cambridge, MD 21613-9500 Ph: (410) 901-9368 | Dr Kenneth Patrick Judd, MD 100 Bramble St, Suite 1, Cambridge, MD 21613-2408 Ph: (410) 228-8106 |
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