Kathleen Cook, in Portage, WI - Medicare Marriage & Family Therapist Provider

Kathleen Cook, is a medicare enrolled "Marriage & Family Therapist" provider in Portage, Wisconsin. Her current practice location is 2639 New Pinery Rd Ste 1, Portage, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (608) 742-5020.

Kathleen Cook is licensed to practice in Wisconsin (license number 656-124) 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 1407951767.

Contact Information

	Kathleen Cook,
	2639 New Pinery Rd Ste 1, Portage, WI 53901-1110
	(608) 742-5020
	(608) 742-3641

Map and Direction

Healthcare Provider's Profile

Full Name	Kathleen Cook
Gender	Female
Speciality	Marriage & Family Therapist
Location	2639 New Pinery Rd Ste 1, Portage, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1407951767
Provider Enumeration Date: 09/13/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 2961853973
Enrollment ID: I20240103004121

Medical Identifiers

Medical identifiers for Kathleen Cook such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1407951767	NPI	-	NPPES
40919600	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
106H00000X	Marriage & Family Therapist	656-124 (Wisconsin)	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. Kathleen Cook allows following entities to bill medicare on her behalf.

Entity Name	Family Therapy Center Of Madison, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1164587150 PECOS PAC ID: 1850285826 Enrollment ID: O20040211000028

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. Kathleen 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
Kathleen Cook, 2639 New Pinery Rd Ste 1, Portage, WI 53901-1110 Ph: (608) 742-5020	Kathleen Cook, 2639 New Pinery Rd Ste 1, Portage, WI 53901-1110 Ph: (608) 742-5020

Reviews and Comments

Marriage & Family Therapist in Portage, WI

Jennifer R Gruba, PHD Couples Therapy Medicare: Medicare Enrolled Practice Location: 2901 Hunters Trl, Portage, WI 53901 Phone: 608-742-5518 Fax: 608-742-4087
Ms. Rebecca Anna Kaiser, MS, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 317 De Witt St, Portage, WI 53901 Phone: 608-566-3812 Fax: 608-745-1757
Erin Shawnna Grimm, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 317 Dewitt St, Portage, WI 53901 Phone: 608-745-1751 Fax: 608-745-1757

Kathleen Cook, - Medicare Couples Therapy in Portage, WI