Jennifer Cook, PMHNP is a medicare enrolled "Clinical Nurse Specialist - Psychiatric/mental Health" in Daphne, Alabama. Her current practice location is
7101 Us Highway 90 Ste 103, Daphne, Alabama. You can reach out to her office (for appointments etc.) via phone at
(256) 701-5651.
Jennifer Cook is licensed to practice in Alabama (license number PENDING) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1902677511.
Provider's Profile
Full Name | Jennifer Cook |
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Gender | Female |
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Speciality | Clinical Nurse Specialist - Psychiatric/mental Health |
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Location | 7101 Us Highway 90 Ste 103, Daphne, Alabama |
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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: 1902677511
- Provider Enumeration Date: 01/11/2024
- Last Update Date: 01/11/2024
Medicare PECOS Information:
- PECOS PAC ID: 7416393830
- Enrollment ID: I20240307003587
Medical Identifiers
Medical identifiers for Jennifer Cook such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1902677511 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
364SP0808X | Clinical Nurse Specialist - Psychiatric/mental Health | PENDING (Alabama) | 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. Jennifer Cook allows following entities to bill medicare on her behalf.
Entity Name | Integrated Behavioral Health, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1730522699 PECOS PAC ID: 7416194113 Enrollment ID: O20131007001029 |
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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. Jennifer 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 |
Jennifer Cook, PMHNP 600 Sun Temple Dr, Madison, AL 35758-8643 Ph: (256) 975-4291 | Jennifer Cook, PMHNP 7101 Us Highway 90 Ste 103, Daphne, AL 36526-9510 Ph: (256) 701-5651 |
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