Benjamin P Cooke, PAC is a medicare enrolled "Physician Assistant" in St Albans, Vermont. His current practice location is
133 Fairfield St, St Albans, Vermont. You can reach out to his office (for appointments etc.) via phone at
(802) 524-5911.
Benjamin P Cooke is licensed to practice in Vermont (license number 0550030525) 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 1144257585.
Provider's Profile
| Full Name | Benjamin P Cooke |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Location | 133 Fairfield St, St Albans, Vermont |
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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: 1144257585
- Provider Enumeration Date: 06/28/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 9638216682
- Enrollment ID: I20091022000723
Medical Identifiers
Medical identifiers for Benjamin P Cooke such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1144257585 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363A00000X | Physician Assistant | 0550030525 (Vermont) | 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. Benjamin P Cooke allows following entities to bill medicare on his behalf.
| Entity Name | Northwestern Medical Center Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1720112659 PECOS PAC ID: 5496714313 Enrollment ID: O20041006001249 |
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| Entity Name | Northwestern Medical Center Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1538293469 PECOS PAC ID: 5496714313 Enrollment ID: O20081114000535 |
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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. Benjamin P 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 |
Benjamin P Cooke, PAC 133 Fairfield St, St Albans, VT 05478-1726 Ph: (802) 524-5911 | Benjamin P Cooke, PAC 133 Fairfield St, St Albans, VT 05478-1726 Ph: (802) 524-5911 |
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