Dr Samuel Nelson Cooke, MD in Fayetteville, AR

Dr Samuel Nelson Cooke, MD is a medicare enrolled "Family Medicine" physician in Fayetteville, Arkansas. His current practice location is 1673 N College Ave, Fayetteville, Arkansas. You can reach out to his office (for appointments etc.) via phone at (479) 521-0200.

Dr Samuel Nelson Cooke is licensed to practice in Arkansas (license number E-8505) 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 1114281060.

Contact Information

	Dr Samuel Nelson Cooke, MD
	1673 N College Ave, Fayetteville, AR 72703-1919
	(479) 521-0200
	(479) 521-4942

Map and Direction

Physician's Profile

Full Name	Dr Samuel Nelson Cooke
Gender	Male
Speciality	Family Medicine
Location	1673 N College Ave, Fayetteville, Arkansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1114281060
Provider Enumeration Date: 06/26/2012
Last Update Date: 12/18/2018

Medicare PECOS Information:

PECOS PAC ID: 8224343470
Enrollment ID: I20150817001883

Medical Identifiers

Medical identifiers for Dr Samuel Nelson Cooke such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114281060	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	E-8505 (Arkansas)	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. Dr Samuel Nelson Cooke allows following entities to bill medicare on his behalf.

Entity Name	Medical Associates Of Northwest Arkansas, Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801847827 PECOS PAC ID: 3678542073 Enrollment ID: O20041001000671

Entity Name	Arkansas Medical & Wellness, Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1619389152 PECOS PAC ID: 1951623123 Enrollment ID: O20141126000241

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 Samuel Nelson 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
Dr Samuel Nelson Cooke, MD Po Box 1523, Fayetteville, AR 72702-1523 Ph: (479) 571-6038	Dr Samuel Nelson Cooke, MD 1673 N College Ave, Fayetteville, AR 72703-1919 Ph: (479) 521-0200

Reviews and Comments

Family Medicine Doctors in Fayetteville, AR

Mr. Eric P B Goodspeed, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 3215 N Northhills Blvd, Fayetteville, AR 72703 Phone: 479-463-7102 Fax: 479-463-7864
Dustin Hoover, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 767 W North St, Fayetteville, AR 72701 Phone: 479-966-5088 Fax: 479-282-0469
Dr. Larry D Coker, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3399 Black Forest Dr, Suite 2, Fayetteville, AR 72704 Phone: 479-757-5056 Fax: 479-757-5057
Dr. Carol A Fossey, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 525 N Garland Ave, Fayetteville, AR 72701 Phone: 479-575-6479 Fax: 479-575-8793
Alfred Y Gordon, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3340 N College Ave Ste 5, Fayetteville, AR 72703 Phone: 479-443-3536 Fax: 479-443-3933
Stanley Bradley, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 325 E Longview Street, Fayetteville, AR 72703 Phone: 479-463-7385 Fax: 479-444-7120
Miss Marielie Heidi Agesilas, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1125 N College Ave, Fayetteville, AR 72703 Phone: 479-521-8260

Dr Samuel Nelson Cooke, MD - Medicare Family Medicine in Fayetteville, AR