Maxim James Mckibben, MD - Medicare Urology in Charlotte, NC

Maxim James Mckibben, MD is a medicare enrolled "Urology" physician in Charlotte, North Carolina. He went to Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University and graduated in 2012 and has 12 years of diverse experience with area of expertise as Urology. He is a member of the group practice Carolinas Medical Center and his current practice location is 1225 Harding Pl, Ste 3100, Charlotte, North Carolina. You can reach out to his office (for appointments etc.) via phone at (704) 355-8686.

Maxim James Mckibben is licensed to practice in North Carolina (license number 2018-00434) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1598022089.

Contact Information

Maxim James Mckibben, MD
1225 Harding Pl, Ste 3100,
Charlotte, NC 28204-2826
(704) 355-8686
Not Available



Physician's Profile

Full NameMaxim James Mckibben
GenderMale
SpecialityUrology
Experience12 Years
Location1225 Harding Pl, Charlotte, North Carolina
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Maxim James Mckibben attended and graduated from Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University in 2012
  NPI Data:
  • NPI Number: 1598022089
  • Provider Enumeration Date: 04/20/2012
  • Last Update Date: 12/18/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 1658591276
  • Enrollment ID: I20180906003165

Medical Identifiers

Medical identifiers for Maxim James Mckibben such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1598022089NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208800000XUrology 2018-00434 (North Carolina)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Carolinas Medical Center/behav HealthCharlotte, NCHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Carolinas Medical Center4789597477735

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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. Maxim James Mckibben allows following entities to bill medicare on his behalf.
Entity NameCarolinas Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275774333
PECOS PAC ID: 4789597477
Enrollment ID: O20031110000116

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Entity NameThe Charlotte-mecklenburg Hospital Authority
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669738829
PECOS PAC ID: 2961310685
Enrollment ID: O20100309000605

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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. Maxim James Mckibben 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
Maxim James Mckibben, MD
Po Box 19305,
Charlotte, NC 28219-9305

Ph: () -
Maxim James Mckibben, MD
1225 Harding Pl, Ste 3100,
Charlotte, NC 28204-2826

Ph: (704) 355-8686

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Urology Doctors in Charlotte, NC

Mark J. Makhuli, MD
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 1225 Harding Pl, Ste 3100, Charlotte, NC 28204
Phone: 704-355-8686    
Dr. George Albert Dasher, M.D.
Urology
Medicare: Not Enrolled in Medicare
Practice Location: 10512 Park Rd, Suite 113, Charlotte, NC 28210
Phone: 704-541-8207    
Dr. Craig H Robson, MD
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 335 N Caswell Rd, Charlotte, NC 28204
Phone: 704-384-7980    
Peter Earl Clark, MD
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 1021 Morehead Medical Dr, Ste 6100, Charlotte, NC 28204
Phone: 980-442-2000    
Jonathan Pierce Walker, MD
Urology
Medicare: Medicare Enrolled
Practice Location: 1001 Blythe Blvd, Charlotte, NC 28203
Phone: 704-446-5070    
E Matthew Dilizia, MD
Urology
Medicare: Medicare Enrolled
Practice Location: 10660 Park Rd Ste 4100, Charlotte, NC 28210
Phone: 704-541-8207    Fax: 704-540-8288
Dr. Lawrence Andrew Eskew, MD
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 335 N Caswell Rd, Charlotte, NC 28204
Phone: 704-384-7980    Fax: 704-384-7985

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