Carolyn Jean Cooke, MD is a medicare enrolled "Family Medicine" physician in Austin, Indiana. Her current practice location is
25 W Main St, Austin, Indiana. You can reach out to her office (for appointments etc.) via phone at
(812) 794-8100.
Carolyn Jean Cooke is licensed to practice in Indiana (license number 01056482A) 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 1609817378.
Physician's Profile
Full Name | Carolyn Jean Cooke |
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Gender | Female |
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Speciality | Family Medicine |
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Location | 25 W Main St, Austin, Indiana |
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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: 1609817378
- Provider Enumeration Date: 06/10/2006
- Last Update Date: 03/25/2024
Medicare PECOS Information:
- PECOS PAC ID: 5890821169
- Enrollment ID: I20100326000199
Medical Identifiers
Medical identifiers for Carolyn Jean Cooke such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1609817378 | NPI | - | NPPES |
200392240 | Medicaid | IN | |
P00046422 | Other | IN | RAILROAD MEDICARE |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 01056482A (Indiana) | 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. Carolyn Jean Cooke allows following entities to bill medicare on her behalf.
Entity Name | Well Care Community Health Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1427694314 PECOS PAC ID: 9335576131 Enrollment ID: O20200217000539 |
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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. Carolyn Jean 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 |
Carolyn Jean Cooke, MD 203 E Main St, Richmond, IN 47374-4208 Ph: (659) 739-2947 | Carolyn Jean Cooke, MD 25 W Main St, Austin, IN 47102 Ph: (812) 794-8100 |
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