Dr Philip Jonathan Kaplan, MD - Medicare Pediatrics in Rockville, MD

Dr Philip Jonathan Kaplan, MD is a medicare enrolled "Pediatrics" physician in Rockville, Maryland. His current practice location is 15204 Omega Dr Ste 100, Rockville, Maryland. You can reach out to his office (for appointments etc.) via phone at (301) 279-6750.

Dr Philip Jonathan Kaplan is licensed to practice in Maryland (license number D0052120) 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 1215978564.

Contact Information

Dr Philip Jonathan Kaplan, MD
15204 Omega Dr Ste 100,
Rockville, MD 20850-4812
(301) 279-6750
(301) 208-8953

Map and Direction




Physician's Profile

Full NameDr Philip Jonathan Kaplan
GenderMale
SpecialityPediatrics
Location15204 Omega Dr Ste 100, Rockville, Maryland
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1215978564
  • Provider Enumeration Date: 06/09/2006
  • Last Update Date: 11/13/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 1951597780
  • Enrollment ID: I20101119000069

Medical Identifiers

Medical identifiers for Dr Philip Jonathan Kaplan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1215978564NPI-NPPES
257702000MedicaidMD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207PP0204XEmergency Medicine - Pediatric Emergency Medicine D0052120 (Maryland)Secondary
208000000XPediatrics D0052120 (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. Dr Philip Jonathan Kaplan allows following entities to bill medicare on his behalf.
Entity NameMep Health Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164483558
PECOS PAC ID: 5193610319
Enrollment ID: O20040217000863
Entity NameUsacs Integrated Acute Care Services Of Maryland Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922598929
PECOS PAC ID: 4486900172
Enrollment ID: O20190604001354

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. Dr Philip Jonathan Kaplan 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
Dr Philip Jonathan Kaplan, MD
107 Autumn Wind Way,
Rockville, MD 20850-2872

Ph: (301) 279-5805
Dr Philip Jonathan Kaplan, MD
15204 Omega Dr Ste 100,
Rockville, MD 20850-4812

Ph: (301) 279-6750

Reviews and Comments


Pediatrics Doctors in Rockville, MD

Stacy B Stryer, M.D.
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Phone: 301-816-6425    Fax: 301-816-7115
Paul Sergio Porras, M.D.
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Practice Location: 2301 Research Blvd, Suite 115, Rockville, MD 20850
Phone: 301-990-1664    Fax: 301-990-0471

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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