Mrs Trudy Mary Cook, LCSW, PC is a medicare enrolled "Social Worker - Clinical" provider in Surf City, North Carolina. Her current practice location is
307 Vesta Ct, Surf City, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(631) 478-2649.
Mrs Trudy Mary Cook is licensed to practice in North Carolina (license number C014519) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1174847206.
Healthcare Provider's Profile
Full Name | Mrs Trudy Mary Cook |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 307 Vesta Ct, Surf City, North Carolina |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1174847206
- Provider Enumeration Date: 03/18/2010
- Last Update Date: 06/05/2023
Medicare PECOS Information:
- PECOS PAC ID: 5991062077
- Enrollment ID: I20230815000315
Medical Identifiers
Medical identifiers for Mrs Trudy Mary Cook such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1174847206 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | C014519 (North Carolina) | Primary |
104100000X | Social Worker | 079968 (New York) | Secondary |
1041C0700X | Social Worker - Clinical | 084264 (New York) | Secondary |
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. Mrs Trudy Mary Cook allows following entities to bill medicare on her behalf.
Entity Name | Trudy Mary Cook Lcsw Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1033642590 PECOS PAC ID: 5890157408 Enrollment ID: O20230815000227 |
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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. Mrs Trudy Mary 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 Address | Practice Location Address |
Mrs Trudy Mary Cook, LCSW, PC Po Box 2116, Surf City, NC 28445-0018 Ph: (631) 478-2649 | Mrs Trudy Mary Cook, LCSW, PC 307 Vesta Ct, Surf City, NC 28445-6684 Ph: (631) 478-2649 |
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