Michael David Cooke, LCSW-R is a medicare enrolled "Social Worker - Clinical" provider in Owego, New York. He graduated from healthcare school in 2002 and has 22 years of diverse experience with area of expertise as Clinical Social Worker. He is a member of the group practice Tioga County and his current practice location is
1062 State Route 38, Owego, New York. You can reach out to his office (for appointments etc.) via phone at
(607) 687-4000.
Michael David Cooke is licensed to practice in New York (license number 079001) 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 1285789180.
Healthcare Provider's Profile
| Full Name | Michael David Cooke |
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| Gender | Male |
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| Speciality | Clinical Social Worker |
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| Experience | 22 Years |
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| Location | 1062 State Route 38, Owego, New York |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Michael David Cooke graduated from medical school in 2002
NPI Data:
- NPI Number: 1285789180
- Provider Enumeration Date: 01/24/2007
- Last Update Date: 12/31/2013
Medicare PECOS Information:
- PECOS PAC ID: 9931369923
- Enrollment ID: I20120329000017
Medical Identifiers
Medical identifiers for Michael David Cooke such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1285789180 | NPI | - | NPPES |
| 00618162 | Medicaid | NY | |
| 17573 | Other | NY | CASAC CREDENTIAL NUMBER |
| 079001 | Other | NY | LCSW LICENSE NUMBER |
| 067008-1 | Other | NY | LMSW LICENSE NUMBER |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 17573 (New York) | Secondary |
| 1041C0700X | Social Worker - Clinical | 067008-1 (New York) | Secondary |
| 1041C0700X | Social Worker - Clinical | 079001 (New York) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Tioga County | 6709786916 | 6 |
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. Michael David Cooke allows following entities to bill medicare on his behalf.
| Entity Name | Tioga County |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1124099700
PECOS PAC ID: 6709786916
Enrollment ID: O20040113000343 |
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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. Michael David Cooke 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 |
|---|
Michael David Cooke, LCSW-R
1062 State Route 38, Po Box 177,
Owego, NY 13827-3209
Ph: (607) 687-4000 | Michael David Cooke, LCSW-R
1062 State Route 38,
Owego, NY 13827
Ph: (607) 687-4000 |
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