Keith R Cook, MD - Medicare Internal Medicine in Johnson City, TN

Keith R Cook, MD is a medicare enrolled "Internal Medicine" physician in Johnson City, Tennessee. He went to East Tennessee State University Quillen College Of Medicine and graduated in 1995 and has 29 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Champion Physical Therapy Llc Halls, State Of Franklin Healthcare Associates, Pllc and his current practice location is 301 Med Tech Pkwy, Ste 240, Johnson City, Tennessee. You can reach out to his office (for appointments etc.) via phone at (423) 794-5520.

Keith R Cook is licensed to practice in Tennessee (license number 28176) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1396740957.

Contact Information

Keith R Cook, MD
301 Med Tech Pkwy, Ste 240,
Johnson City, TN 37604-2364
(423) 794-5520
(423) 282-6940

Map and Direction




Physician's Profile

Full NameKeith R Cook
GenderMale
SpecialityInternal Medicine
Experience29 Years
Location301 Med Tech Pkwy, Johnson City, Tennessee
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Keith R Cook attended and graduated from East Tennessee State University Quillen College Of Medicine in 1995
  NPI Data:
  • NPI Number: 1396740957
  • Provider Enumeration Date: 06/20/2005
  • Last Update Date: 03/08/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 8123161064
  • Enrollment ID: I20100201000576

Medical Identifiers

Medical identifiers for Keith R Cook such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1396740957NPI-NPPES
3811766MedicaidTN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 28176 (Tennessee)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Amedisys Home HealthJohnson city, TNHome health agency
Wellmont HospiceBristol, TNHospice
Johnson City Medical CenterJohnson city, TNHospital
Sycamore Shoals HospitalElizabethton, TNHospital
Franklin Woods Community HospitalJohnson city, TNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Champion Physical Therapy Llc Halls1355416306228
State Of Franklin Healthcare Associates, Pllc2466346291247

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 R Cook allows following entities to bill medicare on his behalf.
Entity NameBlue Ridge Medical Management Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1144380833
PECOS PAC ID: 9739099441
Enrollment ID: O20031204000996
Entity NameState Of Franklin Healthcare Associates, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063459410
PECOS PAC ID: 2466346291
Enrollment ID: O20040211001101

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 R 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 AddressPractice Location Address
Keith R Cook, MD
Po Box 3889,
Johnson City, TN 37602-3889

Ph: (423) 794-5520
Keith R Cook, MD
301 Med Tech Pkwy, Ste 240,
Johnson City, TN 37604-2364

Ph: (423) 794-5520

Reviews and Comments


Internal Medicine Doctors in Johnson City, TN

Dr. Alan Cox, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2603 Avondale Dr, Johnson City, TN 37604
Phone: 423-767-8268    
Dr. Sheeba Anand, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 325 N State Of Franklin, Johnson City, TN 37614
Phone: 423-439-6283    
Dr. Charles Famoyin, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 302 Wesley St, Suite 3, Johnson City, TN 37601
Phone: 423-282-0561    Fax: 423-268-2674
Robert Taylor Means Jr., MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 325 N State Of Franklin Rd, 2nd Floor, Johnson City, TN 37604
Phone: 423-439-7280    Fax: 423-439-7314
Dr. Tariq Ziad Haddadin, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 701 N State Of Franklin Rd Ste 2, Johnson City, TN 37604
Phone: 423-926-4468    Fax: 423-928-4838
Timothy O Mcbride, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 401 E Main St, Johnson City, TN 37601
Phone: 423-929-2584    Fax: 423-722-2060
John M Daniel, DO
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 400 N. State Of Franklin Rd., Johnson City, TN 37614
Phone: 423-282-1480    Fax: 423-928-1353

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.