Mrs Eranesha L Cochran, PA-C, MS, RD is a medicare enrolled "Physician Assistant" provider in North Little Rock, Arkansas. Her current practice location is
2200 Fort Roots Dr, North Little Rock, Arkansas. You can reach out to her office (for appointments etc.) via phone at
(501) 257-3932.
Mrs Eranesha L Cochran is licensed to practice in Arkansas (license number PA-705) 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 1063718633.
Healthcare Provider's Profile
Full Name | Mrs Eranesha L Cochran |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 2200 Fort Roots Dr, North Little Rock, Arkansas |
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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: 1063718633
- Provider Enumeration Date: 01/31/2011
- Last Update Date: 02/11/2022
Medicare PECOS Information:
- PECOS PAC ID: 6002193737
- Enrollment ID: I20170508001109
Medical Identifiers
Medical identifiers for Mrs Eranesha L Cochran such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1063718633 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | 1121 (Arkansas) | Secondary |
363A00000X | Physician Assistant | PA-705 (Arkansas) | 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. Mrs Eranesha L Cochran 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 |
Mrs Eranesha L Cochran, PA-C, MS, RD 169 Kentucky Cir, Jacksonville, AR 72076-1027 Ph: (832) 289-7702 | Mrs Eranesha L Cochran, PA-C, MS, RD 2200 Fort Roots Dr, North Little Rock, AR 72114-1709 Ph: (501) 257-3932 |
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