Jordan C Cook, DO is a medicare enrolled "Dermatology" physician in Springfield, Oregon. She graduated from medical school in 2016 and has 8 years of diverse experience with area of expertise as Dermatology. She is a member of the group practice Highline Dermatology And Skin Cancer, Pc and her current practice location is
21 Hayden Bridge Way, Springfield, Oregon. You can reach out to her office (for appointments etc.) via phone at
(541) 600-2017.
Jordan C Cook is licensed to practice in Oregon (license number DO221863) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1588041719.
Physician's Profile
| Full Name | Jordan C Cook |
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| Gender | Female |
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| Speciality | Dermatology |
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| Experience | 8 Years |
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| Location | 21 Hayden Bridge Way, Springfield, Oregon |
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| Accepts Medicare Assignments | Yes. She 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:
- Jordan C Cook graduated from medical school in 2016
NPI Data:
- NPI Number: 1588041719
- Provider Enumeration Date: 04/27/2015
- Last Update Date: 09/16/2024
Medicare PECOS Information:
- PECOS PAC ID: 4284920737
- Enrollment ID: I20200729001030
Medical Identifiers
Medical identifiers for Jordan C Cook such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1588041719 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207N00000X | Dermatology | DO221863 (Oregon) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (Oregon) | Secondary |
| 207N00000X | Dermatology | 87784 (Montana) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Highline Dermatology And Skin Cancer, Pc | 0749529055 | 3 |
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. Jordan C Cook allows following entities to bill medicare on her behalf.
| Entity Name | Highline Dermatology And Skin Cancer, Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1558831289
PECOS PAC ID: 0749529055
Enrollment ID: O20190305000502 |
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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. Jordan C 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 |
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Jordan C Cook, DO
21 Hayden Bridge Way,
Springfield, OR 97477-1305
Ph: (541) 600-2017 | Jordan C Cook, DO
21 Hayden Bridge Way,
Springfield, OR 97477-1305
Ph: (541) 600-2017 |
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