Kenneth Robert Cooke, MD in Baltimore, MD

Kenneth Robert Cooke, MD is a medicare enrolled "Pediatrics - Pediatric Hematology-oncology" physician in Baltimore, Maryland. His current practice location is Crb1 Rm 207, 1650 Orleans Street,, Baltimore, Maryland. You can reach out to his office (for appointments etc.) via phone at (443) 287-2949.

Kenneth Robert Cooke is licensed to practice in Maryland (license number D76204) 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 1104836733.

Contact Information

	Kenneth Robert Cooke, MD
	Crb1 Rm 207, 1650 Orleans Street,, Baltimore, MD 21287-0001
	(443) 287-2949
	(410) 502-7223

Map and Direction

Physician's Profile

Full Name	Kenneth Robert Cooke
Gender	Male
Speciality	Pediatrics - Pediatric Hematology-oncology
Location	Crb1 Rm 207, Baltimore, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1104836733
Provider Enumeration Date: 08/08/2006
Last Update Date: 04/04/2023

Medicare PECOS Information:

PECOS PAC ID: 3375627490
Enrollment ID: I20130722000192

Medical Identifiers

Medical identifiers for Kenneth Robert Cooke such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104836733	NPI	-	NPPES
000000233275	Other	OH	UNISON
4173898	Medicaid	MI
5752459	Other	OH	AETNA
000000558054	Other	OH	ANTHEM
2146663	Medicaid	OH
440046	Other	OH	WELLCARE
753959	Other	OH	BUCKEYE
932856559A	Medicaid	GA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	4301074004 (Michigan)	Secondary
2080P0207X	Pediatrics - Pediatric Hematology-oncology	4301074004 (Michigan)	Secondary
2080P0207X	Pediatrics - Pediatric Hematology-oncology	35090984 (Ohio)	Secondary
2080P0207X	Pediatrics - Pediatric Hematology-oncology	D76204 (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. Kenneth Robert Cooke allows following entities to bill medicare on his behalf.

Entity Name	Johns Hopkins University
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922008549 PECOS PAC ID: 8921903147 Enrollment ID: O20031215000719

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. Kenneth Robert Cooke 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
Kenneth Robert Cooke, MD 6201 Greenleigh Ave, Baltimore, MD 21220-2004 Ph: () -	Kenneth Robert Cooke, MD Crb1 Rm 207, 1650 Orleans Street,, Baltimore, MD 21287-0001 Ph: (443) 287-2949

Reviews and Comments

Pediatrics Doctors in Baltimore, MD

Hilary Tamara Wolf, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 22 S Greene St, Baltimore, MD 21201 Phone: 410-328-7373 Fax: 410-328-7305
Dr. Carmel Bogle, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1800 Orleans St, Baltimore, MD 21287 Phone: 443-287-0526 Fax: 410-955-0897
Anna Eunjoo Choe, Pediatrics Medicare: Medicare Enrolled Practice Location: 615 N Wolfe St Rm Wb602, Baltimore, MD 21205 Phone: 410-955-3362 Fax: 410-614-1582
Dr. Melissa Lauren Shapiro, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2411 W Belvedere Ave Ste 407, Baltimore, MD 21215 Phone: 410-601-8663
Dr. Alexander James Jaksic, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 600 N Wolfe St, Baltimore, MD 21287 Phone: 781-223-0948
Adam J Spanier, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 300 Armory Pl, Baltimore, MD 21201 Phone: 410-225-8780 Fax: 410-225-8766
Milagritos D Tapia, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 22 S Greene St, Baltimore, MD 21201 Phone: 410-328-6749 Fax: 410-328-6136

Kenneth Robert Cooke, MD - Medicare Pediatrics in Baltimore, MD