Clayton Dale Cockrell Ii, CRNP is a medicare enrolled "Family Medicine" physician in Hamilton, Alabama. He graduated from medical school in 2005 and has 19 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Marion Regional Medical Center, Inc. and his current practice location is
2131 Military St S, Hamilton, Alabama. You can reach out to his office (for appointments etc.) via phone at
(205) 921-5556.
Clayton Dale Cockrell Ii is licensed to practice in Alabama (license number 1-099596) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1457461790.
Physician's Profile
| Full Name | Clayton Dale Cockrell Ii |
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| Gender | Male |
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| Speciality | Nurse Practitioner |
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| Experience | 19 Years |
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| Location | 2131 Military St S, Hamilton, Alabama |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Clayton Dale Cockrell Ii graduated from medical school in 2005
NPI Data:
- NPI Number: 1457461790
- Provider Enumeration Date: 08/30/2006
- Last Update Date: 04/11/2011
Medicare PECOS Information:
- PECOS PAC ID: 9436241932
- Enrollment ID: I20180702003030
Medical Identifiers
Medical identifiers for Clayton Dale Cockrell Ii such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1457461790 | NPI | - | NPPES |
| 515-35921 | Other | AL | BLUE CROSS PROVIDER ## |
| 891012300 | Medicaid | AL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 1-099596 (Alabama) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Marion Regional Medical Center, Inc. | 1658282322 | 10 |
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. Clayton Dale Cockrell Ii allows following entities to bill medicare on his behalf.
| Entity Name | Marion Regional Medical Center, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1932160082
PECOS PAC ID: 1658282322
Enrollment ID: O20031124000559 |
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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. Clayton Dale Cockrell Ii 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 |
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Clayton Dale Cockrell Ii, CRNP
2131 Military St S,
Hamilton, AL 35570-6651
Ph: (205) 921-5556 | Clayton Dale Cockrell Ii, CRNP
2131 Military St S,
Hamilton, AL 35570
Ph: (205) 921-5556 |
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