Ian Kyle Everitt, MD in Baltimore, MD - Medicare Student in an Organized Health Care Education/Training Program

Ian Kyle Everitt, MD - Medicare Student in an Organized Health Care Education/Training Program in Baltimore, MD

Ian Kyle Everitt, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Baltimore, Maryland. His current practice location is 1800 Orleans Street, Baltimore, Maryland. You can reach out to his office (for appointments etc.) via phone at (410) 955-5000.

Ian Kyle Everitt is licensed to practice in * (Not Available) (license number ) 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 1053870394.

Contact Information

	Ian Kyle Everitt, MD
	1800 Orleans Street, Baltimore, MD 21264-3055
	(410) 955-5000
	Not Available

Map and Direction

Physician's Profile

Full Name	Ian Kyle Everitt
Gender	Male
Speciality	Student In An Organized Health Care Education/training Program
Location	1800 Orleans Street, Baltimore, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1053870394
Provider Enumeration Date: 03/17/2019
Last Update Date: 05/03/2024

Medicare PECOS Information:

PECOS PAC ID: 7315271160
Enrollment ID: I20240528001892

Medical Identifiers

Medical identifiers for Ian Kyle Everitt such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053870394	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	125.073717 (Illinois)	Secondary
208M00000X	Hospitalist	036159371 (Illinois)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Primary

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. Ian Kyle Everitt 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
Ian Kyle Everitt, MD 6201 Greenleigh Ave, Middle River, MD 21220-2004 Ph: (410) 933-6423	Ian Kyle Everitt, MD 1800 Orleans Street, Baltimore, MD 21264-3055 Ph: (410) 955-5000