Kenneth Tellerman, MD - Pediatrics in Baltimore, MD

Kenneth Tellerman, MD is a Pediatrics physician based in Baltimore, Maryland. Kenneth Tellerman is licensed to practice in Maryland (license number D0025147) and his current practice location is 711 W 40th St Ste 438, Baltimore, Maryland. He can be reached at his office (for appointments etc.) via phone at (410) 243-8632.

NPI number for Kenneth Tellerman is 1215924402 and his current mailing address is 2416 Ken Oak Rd, Baltimore, Maryland. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1215924402.

Contact Information

Kenneth Tellerman, MD
711 W 40th St Ste 438,
Baltimore, MD 21211-2199
(410) 243-8632
(410) 243-0470

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Physician's Profile

Full NameKenneth Tellerman
GenderMale
SpecialityPediatrics
Location711 W 40th St Ste 438, Baltimore, Maryland
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1215924402
  • Provider Enumeration Date: 10/03/2005
  • Last Update Date: 09/15/2021

Medical Identifiers

Medical identifiers for Kenneth Tellerman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1215924402NPI-NPPES
350701700MedicaidMD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics D0025147 (Maryland)Primary

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 Tellerman is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kenneth Tellerman, MD
2416 Ken Oak Rd,
Baltimore, MD 21209-4310

Ph: (410) 664-6632
Kenneth Tellerman, MD
711 W 40th St Ste 438,
Baltimore, MD 21211-2199

Ph: (410) 243-8632

Reviews and Comments


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