Kendall Elaine Fedorko-overby, DO - Medicare Pediatrics in Lynchburg, VA

Kendall Elaine Fedorko-overby, DO is a medicare enrolled "Pediatrics" physician in Lynchburg, Virginia. Her current practice location is 1900 Thomson Dr, Lynchburg, Virginia. You can reach out to her office (for appointments etc.) via phone at (434) 947-6776.

Kendall Elaine Fedorko-overby is licensed to practice in Virginia (license number 0102049917) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1609049535.

Contact Information

Kendall Elaine Fedorko-overby, DO
1900 Thomson Dr,
Lynchburg, VA 24501-1009
(434) 947-6776
Not Available



Physician's Profile

Full NameKendall Elaine Fedorko-overby
GenderFemale
SpecialityPediatrics
Location1900 Thomson Dr, Lynchburg, Virginia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1609049535
  • Provider Enumeration Date: 04/11/2008
  • Last Update Date: 04/11/2008
  Medicare PECOS Information:
  • PECOS PAC ID: 7719281344
  • Enrollment ID: I20160202001816

Medical Identifiers

Medical identifiers for Kendall Elaine Fedorko-overby such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1609049535NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 0102049917 (Virginia)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. Kendall Elaine Fedorko-overby allows following entities to bill medicare on her behalf.
Entity NameJohnson Health Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1316926538
PECOS PAC ID: 9537060413
Enrollment ID: O20040709000047

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Entity NameJohnson Health Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508231036
PECOS PAC ID: 9537060413
Enrollment ID: O20161128001555

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Entity NameJohnson Health Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1821212481
PECOS PAC ID: 9537060413
Enrollment ID: O20180308000764

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Entity NameJohnson Health Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881102655
PECOS PAC ID: 9537060413
Enrollment ID: O20181026000591

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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. Kendall Elaine Fedorko-overby 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 AddressPractice Location Address
Kendall Elaine Fedorko-overby, DO
1900 Thomson Dr,
Lynchburg, VA 24501-1009

Ph: (434) 947-6776
Kendall Elaine Fedorko-overby, DO
1900 Thomson Dr,
Lynchburg, VA 24501-1009

Ph: (434) 947-6776

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Pediatrics Doctors in Lynchburg, VA

Morgan S Mandeville, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 105 Richeson Dr, Lynchburg, VA 24501
Phone: 434-385-7776    Fax: 434-385-5846
John B Arnold, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 1212 Mcconville Road, Lynchburg, VA 24502
Phone: 434-237-8886    Fax: 434-239-6807
Denise L Fenton, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 1212 Mcconville Road, Lynchburg, VA 24502
Phone: 434-237-8886    Fax: 434-239-6807
Robert Skyler Mccurley, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 121 Mcconville Road, Lynchburg, VA 24502
Phone: 434-237-8886    Fax: 434-239-6807
Dr. Richard C Morris, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 105 Richeson Dr, Lynchburg, VA 24501
Phone: 434-385-7776    Fax: 434-385-5846
Bradley S Malcolm, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 105 Richeson Dr, Lynchburg, VA 24501
Phone: 434-385-7776    Fax: 434-385-5846
Raul Barroso, DO
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 2137 Lakeside Dr, Lynchburg, VA 24501
Phone: 434-404-7200    Fax: 434-385-8616

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