Keith Martin, DO in Baltimore, MD

Keith Martin, DO is a medicare enrolled "Pediatrics" physician in Baltimore, Maryland. His current practice location is 200 N Wolfe St Ste 2022, Baltimore, Maryland. You can reach out to his office (for appointments etc.) via phone at (410) 614-5961.

Keith Martin is licensed to practice in Maryland (license number H91895) 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 1518352590.

Contact Information

	Keith Martin, DO
	200 N Wolfe St Ste 2022, Baltimore, MD 21287-0011
	(410) 614-5961
	(410) 367-2095

Map and Direction

Physician's Profile

Full Name	Keith Martin
Gender	Male
Speciality	Pediatrics
Location	200 N Wolfe St Ste 2022, 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: 1518352590
Provider Enumeration Date: 04/06/2015
Last Update Date: 05/12/2022

Medicare PECOS Information:

PECOS PAC ID: 0547562886
Enrollment ID: I20180807000771

Medical Identifiers

Medical identifiers for Keith Martin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1518352590	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	34.013249 (Ohio)	Secondary
208000000X	Pediatrics	H91895 (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. Keith Martin allows following entities to bill medicare on his behalf.

Entity Name	Children's Hospital Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609915784 PECOS PAC ID: 8426955733 Enrollment ID: O20031216000035

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. Keith Martin 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
Keith Martin, DO 6201 Greenleigh Ave, Middle River, MD 21220-2004 Ph: (410) 933-6423	Keith Martin, DO 200 N Wolfe St Ste 2022, Baltimore, MD 21287-0011 Ph: (410) 614-5961

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

Keith Martin, DO - Medicare Pediatrics in Baltimore, MD