Dr Michael Roderick Cook, MD in Philadelphia, PA - Medicare Student in an Organized Health Care Education/Training Program

Dr Michael Roderick Cook, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Philadelphia, Pennsylvania. His current practice location is 51 N 39th St, Cupp Building 1st Floor, Philadelphia, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (215) 662-9801.

Dr Michael Roderick Cook is licensed to practice in * (Not Available) (license number ) 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 1184157307.

Contact Information

	Dr Michael Roderick Cook, MD
	51 N 39th St, Cupp Building 1st Floor, Philadelphia, PA 19104-2640
	(215) 662-9801
	(215) 243-3249

Map and Direction

Physician's Profile

Full Name	Dr Michael Roderick Cook
Gender	Male
Speciality	Student In An Organized Health Care Education/training Program
Location	51 N 39th St, Philadelphia, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1184157307
Provider Enumeration Date: 04/05/2017
Last Update Date: 07/11/2025

Medicare PECOS Information:

PECOS PAC ID: 8628438892
Enrollment ID: I20230719002620

Medical Identifiers

Medical identifiers for Dr Michael Roderick Cook such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1184157307	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RH0003X	Internal Medicine - Hematology & Oncology	MD481431 (Pennsylvania)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	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 Michael Roderick Cook allows following entities to bill medicare on his behalf.

Entity Name	University Of Penn-medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1679677975 PECOS PAC ID: 6204730955 Enrollment ID: O20150221000231

Entity Name	University Of Penn-medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053447151 PECOS PAC ID: 6204730955 Enrollment ID: O20150304001436

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 Michael Roderick Cook 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
Dr Michael Roderick Cook, MD 51 N 39th St, Philadelphia, PA 19104-2640 Ph: (724) 972-7104	Dr Michael Roderick Cook, MD 51 N 39th St, Cupp Building 1st Floor, Philadelphia, PA 19104-2640 Ph: (215) 662-9801

Dr Michael Roderick Cook, MD - Medicare Student in an Organized Health Care Education/Training Program in Philadelphia, PA