Dr Charles David Cook, DNP in Winston Salem, NC

Dr Charles David Cook, DNP is a medicare enrolled "Nurse Practitioner" in Winston Salem, North Carolina. His current practice location is 150 Charlois Blvd, Winston Salem, North Carolina. You can reach out to his office (for appointments etc.) via phone at (336) 865-0344.

Dr Charles David Cook is licensed to practice in North Carolina (license number 5006328) 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 1407288459.

Contact Information

	Dr Charles David Cook, DNP
	150 Charlois Blvd, Winston Salem, NC 27103-1549
	(336) 865-0344
	(336) 765-7306

Map and Direction

Provider's Profile

Full Name	Dr Charles David Cook
Gender	Male
Speciality	Nurse Practitioner
Location	150 Charlois Blvd, Winston Salem, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1407288459
Provider Enumeration Date: 08/01/2013
Last Update Date: 04/04/2024

Medicare PECOS Information:

PECOS PAC ID: 9032344353
Enrollment ID: I20131022001990

Medical Identifiers

Medical identifiers for Dr Charles David Cook such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1407288459	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	5006328 (North Carolina)	Primary
363LA2100X	Nurse Practitioner - Acute Care	5006328 (North Carolina)	Secondary

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 Charles David Cook allows following entities to bill medicare on his behalf.

Entity Name	Lifesource Of North Carolina
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1811286156 PECOS PAC ID: 7416132428 Enrollment ID: O20110505000743

Entity Name	Larry S Kilby Md Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922132620 PECOS PAC ID: 0547564825 Enrollment ID: O20160205002213

Entity Name	Signify Health Medical Associates Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20191001003503

Entity Name	The Neil Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1518142280 PECOS PAC ID: 2365581196 Enrollment ID: O20200513003275

Entity Name	Physiatry Consultants Of Nc Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437736881 PECOS PAC ID: 2567871643 Enrollment ID: O20210430000666

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 Charles David 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
Dr Charles David Cook, DNP 150 Charlois Blvd, Winston Salem, NC 27103-1549 Ph: (336) 865-0344	Dr Charles David Cook, DNP 150 Charlois Blvd, Winston Salem, NC 27103-1549 Ph: (336) 865-0344

Reviews and Comments

Nurse Practitioner Nurses in Winston Salem, NC

Kaila Haskins, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2085 Frontis Plaza Blvd, Winston Salem, NC 27103 Phone: 704-316-4136 Fax: 704-417-4814
Cora Robbins, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 186 Kimel Park Dr, Winston Salem, NC 27103 Phone: 336-277-2000 Fax: 336-277-2050
Mrs. Joy Lianne Justice, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2085 Frontis Plaza Blvd, Winston Salem, NC 27103 Phone: 704-316-4136 Fax: 704-417-4814
Lillykutty Abraham Modoor, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 650 Highland Ave Ste 100, Winston Salem, NC 27101 Phone: 336-607-8523 Fax: 336-773-0916
Dr. Marie Huffmaster Thomas, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3333 Silas Creek Pkwy, Winston Salem, NC 27103 Phone: 336-718-5000
Jennifer Adams, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1medical Center Blvd, Winston Salem, NC 27157 Phone: 336-716-2878
Deborah Krist Potticary, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3333 Silas Creek Pkwy, Winston Salem, NC 27103 Phone: 336-718-7041 Fax: 336-718-9622

Dr Charles David Cook, DNP - Medicare Nurse Practitioner in Winston Salem, NC