Dr Jerald Lee Cook, MD is a medicare enrolled "Preventive Medicine - Occupational Medicine" physician in Twentynine Palms, California. His current practice location is
1145 Sturgis Rd, Naval Hospital Twentynine Palms, Twentynine Palms, California. You can reach out to his office (for appointments etc.) via phone at
(760) 830-2002.
Dr Jerald Lee Cook is licensed to practice in California (license number A110724) 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 1851551816.
Physician's Profile
Full Name | Dr Jerald Lee Cook |
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Gender | Male |
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Speciality | Preventive Medicine - Occupational Medicine |
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Location | 1145 Sturgis Rd, Twentynine Palms, California |
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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: 1851551816
- Provider Enumeration Date: 06/12/2008
- Last Update Date: 09/19/2014
Medicare PECOS Information:
- PECOS PAC ID: 7911144688
- Enrollment ID: I20130516000628
Medical Identifiers
Medical identifiers for Dr Jerald Lee Cook such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1851551816 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2083P0500X | Preventive Medicine - Preventive Medicine/occupational Environmental Medicine | A110724 (California) | Secondary |
2083P0901X | Preventive Medicine - Public Health & General Preventive Medicine | A110724 (California) | Secondary |
2083X0100X | Preventive Medicine - Occupational Medicine | A110724 (California) | 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 Jerald Lee 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 |
Dr Jerald Lee Cook, MD 11384 Copperleaf Ln, San Diego, CA 92124-2803 Ph: (858) 382-6200 | Dr Jerald Lee Cook, MD 1145 Sturgis Rd, Naval Hospital Twentynine Palms, Twentynine Palms, CA 92278 Ph: (760) 830-2002 |
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