Bobby Lewis Cockram Jr, PA in Falls Church, VA - Medicare Physician Assistant

Bobby Lewis Cockram Jr, PA is a medicare enrolled "Physician Assistant" in Falls Church, Virginia. His current practice location is 3300 Gallows Rd, Falls Church, Virginia. You can reach out to his office (for appointments etc.) via phone at (703) 776-4001.

Bobby Lewis Cockram Jr is licensed to practice in Virginia (license number 0110001402) 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 1689601320.

Contact Information

	Bobby Lewis Cockram Jr, PA
	3300 Gallows Rd, Falls Church, VA 22042-3300
	(703) 776-4001
	(703) 776-7113

Map and Direction

Provider's Profile

Full Name	Bobby Lewis Cockram Jr
Gender	Male
Speciality	Physician Assistant
Location	3300 Gallows Rd, Falls Church, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1689601320
Provider Enumeration Date: 06/27/2006
Last Update Date: 09/22/2020

Medicare PECOS Information:

PECOS PAC ID: 9234124686
Enrollment ID: I20040416000185

Medical Identifiers

Medical identifiers for Bobby Lewis Cockram Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1689601320	NPI	-	NPPES
P00679650	Other	VA	MEDICARE RAILROAD
1689601320	Medicaid	VA
P00453916	Other	VA	RAILROAD MEDICARE
010392055	Medicaid	VA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363AM0700X	Physician Assistant - Medical	0110001402 (Virginia)	Secondary
363A00000X	Physician Assistant	0110001402 (Virginia)	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. Bobby Lewis Cockram Jr 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
Bobby Lewis Cockram Jr, PA Po Box 37174, Baltimore, MD 21297-3174 Ph: (571) 423-5699	Bobby Lewis Cockram Jr, PA 3300 Gallows Rd, Falls Church, VA 22042-3300 Ph: (703) 776-4001

Reviews and Comments

Physician Assistant Nurses in Falls Church, VA

Narges Najmyar, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3300 Gallows Rd, Falls Church, VA 22042 Phone: 703-970-2670 Fax: 703-970-0240
Mrs. Kristen Aulenbach Rupell, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 3300 Gallows Road, Falls Church, VA 22042 Phone: 703-776-3564
Carrie I Thomas, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3300 Gallows Rd, Falls Church, VA 22042 Phone: 703-776-4001 Fax: 703-776-7113
James R. O'hara, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2901 Telestar Ct Ste 100, Falls Church, VA 22042 Phone: 703-208-9797 Fax: 703-591-0829
Dr. Iyla Tikhonov, CSA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3300 Gallows Rd, Falls Church, VA 22042 Phone: 703-776-4094
Julianne C Hadesty, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 3300 Gallows Rd, Falls Church, VA 22042 Phone: 703-776-4001 Fax: 703-776-7113
Mr. Jared Ng, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 3300 Gallows Rd, Falls Church, VA 22042 Phone: 703-776-4001 Fax: 703-776-7113

Bobby Lewis Cockram Jr, PA - Medicare Physician Assistant in Falls Church, VA