David Cook, in Rockford, IL - Medicare Family Medicine

David Cook, is a medicare enrolled "Family Medicine" physician in Rockford, Illinois. His current practice location is 1221 E State St, Rockford, Illinois. You can reach out to his office (for appointments etc.) via phone at (815) 972-1037.

David Cook is licensed to practice in Illinois (license number 125.080373) 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 1043955768.

Contact Information

	David Cook,
	1221 E State St, Rockford, IL 61104-2231
	(815) 972-1037
	Not Available

Map and Direction

Physician's Profile

Full Name	David Cook
Gender	Male
Speciality	Family Medicine
Location	1221 E State St, Rockford, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1043955768
Provider Enumeration Date: 04/28/2022
Last Update Date: 06/27/2022

Medicare PECOS Information:

PECOS PAC ID: 0840654463
Enrollment ID: I20230915001313

Medical Identifiers

Medical identifiers for David Cook such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043955768	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	125.080373 (Illinois)	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. David Cook allows following entities to bill medicare on his behalf.

Entity Name	Ksb Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073592119 PECOS PAC ID: 7911890009 Enrollment ID: O20040203000860

Entity Name	Katherine Shaw Bethea Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1427043546 PECOS PAC ID: 2264480037 Enrollment ID: O20081218000029

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. David 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
David Cook, 1501 E Gardner Ln Apt 614, Peoria Heights, IL 61616-3625 Ph: () -	David Cook, 1221 E State St, Rockford, IL 61104-2231 Ph: (815) 972-1037

Reviews and Comments

Family Medicine Doctors in Rockford, IL

Srivani Sridhar, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3505 N. Bell School Rd., Rockford, IL 61114 Phone: 779-696-0300
Dr. John Wall, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1200 W State St, Rockford, IL 61102 Phone: 815-490-1600
Dr. Steven J Lidvall, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1215 N Alpine Rd, Rockford, IL 61107 Phone: 815-391-7807
Dr. Arpana Broor Mathur, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 698 Featherstone Rd, Suite 250, Rockford, IL 61107 Phone: 815-399-4404 Fax: 815-484-7091
Ms. Rachael Mcpeek, NP Family Medicine Medicare: Medicare Enrolled Practice Location: 1215 N Alpine Rd, Rockford, IL 61107 Phone: 815-490-1600
Dr. Jithinraj Edakkanambeth Varayil, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1200 W State St, Rockford, IL 61102 Phone: 815-490-1600 Fax: 815-490-1881
Dr. Raju M Shanmugam, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3401 N Perryville Rd, Rockford, IL 61114 Phone: 815-971-2000 Fax: 815-971-2000

David Cook, - Medicare Family Medicine in Rockford, IL