Mr Jerry Alan Cooke, LISW LADC is a medicare enrolled "Social Worker" provider in Santa Fe, New Mexico. His current practice location is
1482b S St Francis Dr, Santa Fe, New Mexico. You can reach out to his office (for appointments etc.) via phone at
(505) 983-3676.
Mr Jerry Alan Cooke is licensed to practice in New Mexico (license number I0879) 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 1033284229.
Healthcare Provider's Profile
Full Name | Mr Jerry Alan Cooke |
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Gender | Male |
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Speciality | |
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Experience | Years |
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Location | 1482b S St Francis Dr, Santa Fe, New Mexico |
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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. |
Medical Education and Training:
- Mr Jerry Alan Cooke attended and graduated from in
NPI Data:
- NPI Number: 1033284229
- Provider Enumeration Date: 11/22/2006
- Last Update Date: 03/21/2013
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Mr Jerry Alan Cooke such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1033284229 | NPI | - | NPPES |
Q6658 | Medicaid | NM | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 348 (Oklahoma) | Secondary |
104100000X | Social Worker | I0879 (New Mexico) | Primary |
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. Mr Jerry Alan 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 |
Mr Jerry Alan Cooke, LISW LADC 1482b S St Francis Dr, Santa Fe, NM 87505-4098 Ph: (505) 983-3676 | Mr Jerry Alan Cooke, LISW LADC 1482b S St Francis Dr, Santa Fe, NM 87505-4098 Ph: (505) 983-3676 |
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