Jacob Cockerhan, PMHNP in Waterford, MI - Medicare Registered Nurse

Jacob Cockerhan, PMHNP is a medicare enrolled "Registered Nurse" in Waterford, Michigan. His current practice location is 279 Summit Dr, Waterford, Michigan. You can reach out to his office (for appointments etc.) via phone at (248) 745-4900.

Jacob Cockerhan is licensed to practice in Michigan (license number 4704315433) 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 1922539378.

Contact Information

	Jacob Cockerhan, PMHNP
	279 Summit Dr, Waterford, MI 48328-3364
	(248) 745-4900
	Not Available

Map and Direction

Provider's Profile

Full Name	Jacob Cockerhan
Gender	Male
Speciality	Registered Nurse
Location	279 Summit Dr, Waterford, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1922539378
Provider Enumeration Date: 03/27/2017
Last Update Date: 11/03/2022

Medicare PECOS Information:

PECOS PAC ID: 2567835309
Enrollment ID: I20230227001619

Medical Identifiers

Medical identifiers for Jacob Cockerhan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1922539378	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	4704315433 (Michigan)	Secondary
163W00000X	Registered Nurse	4704315433 (Michigan)	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. Jacob Cockerhan allows following entities to bill medicare on his behalf.

Entity Name	Cns Healthcare
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770538068 PECOS PAC ID: 8729980198 Enrollment ID: O20040126000163

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. Jacob Cockerhan 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
Jacob Cockerhan, PMHNP 279 Summit Dr, Waterford, MI 48328-3364 Ph: () -	Jacob Cockerhan, PMHNP 279 Summit Dr, Waterford, MI 48328-3364 Ph: (248) 745-4900

Reviews and Comments

Registered Nurse Nurses in Waterford, MI

Cheryl Mathis, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 6522 Woodhaven Dr Apt 1, Waterford, MI 48327 Phone: 248-345-1481
Nicole M Ulrich, RN, CCM, CNLCP Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 4489 W Walton Blvd, Waterford, MI 48329 Phone: 248-674-1028 Fax: 888-551-1057
Linda Ching, R.N. Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 4382 Forest Ave, Waterford, MI 48328 Phone: 248-342-9898
Mrs. Hannah Rose Cardinale, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 279 Summit Dr, Waterford, MI 48328 Phone: 248-745-4900
Veronica Donzella Upchurch, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 740 Cedarlawn Rd, Waterford, MI 48328 Phone: 248-636-5028
Madison Rae Martin, RN, MSN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 7124 Highland Rd, Waterford, MI 48327 Phone: 248-431-7245
Katherine Phelps, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 5232 Rosamond Ln Apt 23, Waterford, MI 48327 Phone: 248-378-7983

Jacob Cockerhan, PMHNP - Medicare Registered Nurse in Waterford, MI