Kevin Connolly, in Owings Mills, MD - Medicare Otolaryngology

Kevin Connolly, is a medicare enrolled "Otolaryngology" physician in Owings Mills, Maryland. His current practice location is 23 Crossroads Dr Ste 400, Owings Mills, Maryland. You can reach out to his office (for appointments etc.) via phone at (410) 356-2626.

Kevin Connolly is licensed to practice in Maryland (license number D0095991) 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 1104352764.

Contact Information

	Kevin Connolly,
	23 Crossroads Dr Ste 400, Owings Mills, MD 21117-5490
	(410) 356-2626
	Not Available

Map and Direction

Physician's Profile

Full Name	Kevin Connolly
Gender	Male
Speciality	Otolaryngology
Location	23 Crossroads Dr Ste 400, Owings Mills, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1104352764
Provider Enumeration Date: 05/02/2017
Last Update Date: 05/24/2023

Medicare PECOS Information:

PECOS PAC ID: 5991044455
Enrollment ID: I20230606001166

Medical Identifiers

Medical identifiers for Kevin Connolly such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104352764	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Y00000X	Otolaryngology	D0095991 (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. Kevin Connolly allows following entities to bill medicare on his behalf.

Entity Name	Greater Baltimore Medical Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1891855763 PECOS PAC ID: 1759276975 Enrollment ID: O20040217000852

Entity Name	Annapolis Ent Surgical Center Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275372617 PECOS PAC ID: 9436226750 Enrollment ID: O20240708004148

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. Kevin Connolly 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
Kevin Connolly, 6701 Democracy Blvd Ste 300, Bethesda, MD 20817-7500 Ph: (859) 547-7874	Kevin Connolly, 23 Crossroads Dr Ste 400, Owings Mills, MD 21117-5490 Ph: (410) 356-2626

Reviews and Comments

Otolaryngology Doctors in Owings Mills, MD

Mark A Mashburn, M.D. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 23 Crossroads Dr, Suite 400, Owings Mills, MD 21117 Phone: 410-356-2626 Fax: 410-356-8945
Dr. Douglas C Mccorkle, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 10 Crossroads Drive, Suite 100, Owings Mills, MD 21117 Phone: 410-363-7172 Fax: 410-363-7188
Michael David Weiss, M.D. Otolaryngology Medicare: Medicare Enrolled Practice Location: 23 Crossroads Dr, Suite 400, Owings Mills, MD 21117 Phone: 410-356-2626
Tam N Nguyen, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 23 Crossroads Dr, Suite 400, Owings Mills, MD 21117 Phone: 410-356-2626 Fax: 410-356-8945
Daniel Victor Santos, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 23 Crossroads Dr, Suite 400, Owings Mills, MD 21117 Phone: 410-356-2626
Scott D. London, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 23 Crossroads Dr, Suite 400, Owings Mills, MD 21117 Phone: 410-356-2626

Kevin Connolly, - Medicare Otolaryngology in Owings Mills, MD