Dr Cory Edward Cookingham Jr, MD is a medicare enrolled "Allergy & Immunology" physician in Fort Stewart, Georgia. His current practice location is
1061 Harmon Ave, Fort Stewart, Georgia. You can reach out to his office (for appointments etc.) via phone at
(912) 435-6965.
Dr Cory Edward Cookingham Jr is licensed to practice in Michigan (license number 5315125543) 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 1932154986.
Physician's Profile
Full Name | Dr Cory Edward Cookingham Jr |
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Gender | Male |
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Speciality | Allergy & Immunology |
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Location | 1061 Harmon Ave, Fort Stewart, Georgia |
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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: 1932154986
- Provider Enumeration Date: 05/24/2006
- Last Update Date: 02/08/2024
Medicare PECOS Information:
- PECOS PAC ID: 2062685399
- Enrollment ID: I20111102000623
Medical Identifiers
Medical identifiers for Dr Cory Edward Cookingham Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1932154986 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207K00000X | Allergy & Immunology | 4301052117 (Michigan) | Secondary |
207K00000X | Allergy & Immunology | 5315125543 (Michigan) | 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 Cory Edward Cookingham Jr 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 Cory Edward Cookingham Jr, MD 1061 Harmon Ave, Fort Stewart, GA 31314-5641 Ph: (912) 435-6878 | Dr Cory Edward Cookingham Jr, MD 1061 Harmon Ave, Fort Stewart, GA 31314-5641 Ph: (912) 435-6965 |
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