Dr Michael Stacy Cook, DMD is a
Dentist based in Leakesville, Mississippi. Dr Michael Stacy Cook is licensed to practice in Mississippi (license number 2870-95) and his current practice location is
403 Main St, Leakesville, Mississippi. He can be reached at his office (for appointments etc.) via phone at
(601) 394-2467.
NPI number for Dr Michael Stacy Cook is 1801899620 and his current mailing address is Po Box 280, Leakesville, Mississippi. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1801899620.
Healthcare Provider's Profile
| Full Name | Dr Michael Stacy Cook |
|---|
| Gender | Male |
|---|
| Speciality | Dentist |
|---|
| Location | 403 Main St, Leakesville, Mississippi |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1801899620
- Provider Enumeration Date: 05/24/2005
- Last Update Date: 11/16/2022
Medical Identifiers
Medical identifiers for Dr Michael Stacy Cook such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1801899620 | NPI | - | NPPES |
| 09015334 | Medicaid | MS | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | 2870-95 (Mississippi) | 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. Dr Michael Stacy Cook is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Michael Stacy Cook, DMD
Po Box 280,
Leakesville, MS 39451-0280
Ph: (601) 394-2467 | Dr Michael Stacy Cook, DMD
403 Main St,
Leakesville, MS 39451-6502
Ph: (601) 394-2467 |
Reviews and Comments