Dr Nathaniel Cook, DDS is a medicare enrolled "Dentist - Pediatric Dentistry" provider in Mound View, Minnesota. His current practice location is
2442 Mounds View Blvd, Mound View, Minnesota. You can reach out to his office (for appointments etc.) via phone at
(763) 316-5400.
Dr Nathaniel Cook is licensed to practice in Minnesota (license number D13950) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1457855165.
Healthcare Provider's Profile
Full Name | Dr Nathaniel Cook |
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Gender | Male |
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Speciality | Dentist - Pediatric Dentistry |
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Location | 2442 Mounds View Blvd, Mound View, Minnesota |
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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: 1457855165
- Provider Enumeration Date: 03/19/2018
- Last Update Date: 10/25/2023
Medicare PECOS Information:
- PECOS PAC ID: 4183987571
- Enrollment ID: I20180418000001
Medical Identifiers
Medical identifiers for Dr Nathaniel Cook such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1457855165 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
122300000X | Dentist | D13950 (Minnesota) | Secondary |
1223P0221X | Dentist - Pediatric Dentistry | D13950 (Minnesota) | 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 Nathaniel 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 |
Dr Nathaniel Cook, DDS 2442 Mounds View Blvd, Mounds View, MN 55112 Ph: (763) 316-5400 | Dr Nathaniel Cook, DDS 2442 Mounds View Blvd, Mound View, MN 55112 Ph: (763) 316-5400 |
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