Dr Sean Joshua Cooney, MD - Medicare Pediatrics in Baltimore, MD

Dr Sean Joshua Cooney, MD is a medicare enrolled "Pediatrics" physician in Baltimore, Maryland. His current practice location is 1800 Orleans St, Baltimore, Maryland. You can reach out to his office (for appointments etc.) via phone at (443) 927-3360.

Dr Sean Joshua Cooney is licensed to practice in California (license number A169501) 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 1952833808.

Contact Information

Dr Sean Joshua Cooney, MD
1800 Orleans St,
Baltimore, MD 21287-0010
(443) 927-3360
Not Available

Map and Direction




Physician's Profile

Full NameDr Sean Joshua Cooney
GenderMale
SpecialityPediatrics
Location1800 Orleans St, Baltimore, Maryland
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1952833808
  • Provider Enumeration Date: 03/30/2017
  • Last Update Date: 06/17/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 4981979101
  • Enrollment ID: I20200731002666

Medical Identifiers

Medical identifiers for Dr Sean Joshua Cooney such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1952833808NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics A169501 (California)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 Sean Joshua Cooney allows following entities to bill medicare on his behalf.
Entity NameStanford Health Care
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437292927
PECOS PAC ID: 6709797491
Enrollment ID: O20031124000348
Entity NameLpch Medical Group Div Of Lucile
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417907940
PECOS PAC ID: 0840298543
Enrollment ID: O20061113000232

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 Sean Joshua Cooney 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 Sean Joshua Cooney, MD
725 Welch Rd,
Palo Alto, CA 94304-1601

Ph: (650) 723-7914
Dr Sean Joshua Cooney, MD
1800 Orleans St,
Baltimore, MD 21287-0010

Ph: (443) 927-3360

Reviews and Comments


Pediatrics Doctors in Baltimore, MD

Hilary Tamara Wolf, MD
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Practice Location: 22 S Greene St, Baltimore, MD 21201
Phone: 410-328-7373    Fax: 410-328-7305
Dr. Carmel Bogle, M.D.
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Practice Location: 1800 Orleans St, Baltimore, MD 21287
Phone: 443-287-0526    Fax: 410-955-0897
Anna Eunjoo Choe,
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Dr. Melissa Lauren Shapiro, M.D.
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Practice Location: 2411 W Belvedere Ave Ste 407, Baltimore, MD 21215
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Dr. Alexander James Jaksic, MD
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Adam J Spanier, M.D.
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Practice Location: 300 Armory Pl, Baltimore, MD 21201
Phone: 410-225-8780    Fax: 410-225-8766
Milagritos D Tapia, MD
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Practice Location: 22 S Greene St, Baltimore, MD 21201
Phone: 410-328-6749    Fax: 410-328-6136

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).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.