| Samantha L Cook, MD | |
|
835 W Emmitt Ave, Waverly, OH 45690-1190 | |
| (740) 947-7662 | |
| (740) 941-0099 |
| Full Name | Samantha L Cook |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 835 W Emmitt Ave, Waverly, Ohio |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134328594 | NPI | - | NPPES |
| 3065918 | Medicaid | OH | |
| 38100187091 | Medicaid | WV | |
| 7100125530 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 23997 (West Virginia) | Secondary |
| 208000000X | Pediatrics | 35121764 (Ohio) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Samantha L Cook, MD 1735 27th St Ste B06, Portsmouth, OH 45662-2681 Ph: (740) 356-8681 | Samantha L Cook, MD 835 W Emmitt Ave, Waverly, OH 45690-1190 Ph: (740) 947-7662 |
Mohammad T. Ali, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 227 Valley View Dr, Waverly, OH 45690 Phone: 740-947-7726 Fax: 740-947-9354 | |
Mr. Jack David Bennett, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 617 S Market St, #2, Waverly, OH 45690 Phone: 740-941-1859 Fax: 740-941-1859 |