Individual provider Active NPI

Lynn Kathleen Bickley, MD

  • Dermatology Physician
  • Chestertown, MD
National Provider Identifier
1275521114
Registry record updated Oct 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
D0047069 Issued in MD
Practice address
6412 Church Hill Rd
Chestertown, MD 21620-2386
Phone
(410) 810-7090
Fax
(410) 810-7091
NPI assigned
Oct 13, 2005
Last updated
Oct 26, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X D0047069 MD Primary
Procedural Dermatology Physician 207NS0135X D0047069 MD

Addresses

Primary practice location

6412 Church Hill Rd
Chestertown, MD 21620-2386

Mailing address

PO Box 2350
Easton, MD 21601-8945
Phone (410) 822-9890

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111013000444 MD Practitioner - Dermatology 5496927543 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Talbot Dermatology & Dermatologic Surgery PA Dermatology CurrentSince Jul 22, 2003 Accepting new patients
Atlantic Skin & Cosmetic Surgery Group, P.C. Dermatology Past Accepting new patients
Delaware Valley Dermatology Group LLC Dermatology Past Accepting new patients

Locations

6412 Church Hill Rd
Chestertown, MD 21620
Phone (410) 778-1801

5 Caulk Ln
Ste 2
Easton, MD 21601
Phone (410) 822-9890

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1129161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445817600000",
    "number": "1275521114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2350",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "216018945",
            "telephone_number": "410-822-9890",
            "fax_number": "410-763-9536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6412 CHURCH HILL RD",
            "city": "CHESTERTOWN",
            "state": "MD",
            "postal_code": "216202386",
            "telephone_number": "410-810-7090",
            "fax_number": "410-810-7091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BICKLEY",
        "first_name": "LYNN",
        "middle_name": "KATHLEEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-13",
        "last_updated": "2015-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MD",
            "license": "D0047069",
            "primary": true
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "MD",
            "license": "D0047069",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chestertown, MD

Sources for this page

Verify at the official NPI Registry.