Maureen Diane Cook, APRN is a medicare enrolled "Clinical Nurse Specialist - Psychiatric/mental Health, Adult" in Monroe, Connecticut. Her current practice location is
731 Main St Ste 122, Monroe, Connecticut. You can reach out to her office (for appointments etc.) via phone at
(203) 261-7090.
Maureen Diane Cook is licensed to practice in Connecticut (license number 001486) 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 1083755300.
Provider's Profile
Full Name | Maureen Diane Cook |
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Gender | Female |
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Speciality | Clinical Nurse Specialist - Psychiatric/mental Health, Adult |
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Location | 731 Main St Ste 122, Monroe, Connecticut |
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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: 1083755300
- Provider Enumeration Date: 02/09/2007
- Last Update Date: 05/07/2020
Medicare PECOS Information:
- PECOS PAC ID: 6305918590
- Enrollment ID: I20080703000192
Medical Identifiers
Medical identifiers for Maureen Diane Cook such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1083755300 | NPI | - | NPPES |
890000175 | Other | CT | MEDICARE FIRST COAST |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 1486 (Connecticut) | Secondary |
364S00000X | Clinical Nurse Specialist | 001486 (Connecticut) | Secondary |
364SP0809X | Clinical Nurse Specialist - Psychiatric/mental Health, Adult | 001486 (Connecticut) | 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. Maureen Diane Cook allows following entities to bill medicare on her behalf.
Entity Name | Prospect Waterbury Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1477902641 PECOS PAC ID: 4688967581 Enrollment ID: O20161004000255 |
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Entity Name | Key Therapy Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1114393493 PECOS PAC ID: 6204185010 Enrollment ID: O20180827003149 |
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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. Maureen Diane 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 |
Maureen Diane Cook, APRN 731 Main St Ste 122, Monroe, CT 06468-2872 Ph: (203) 367-1131 | Maureen Diane Cook, APRN 731 Main St Ste 122, Monroe, CT 06468-2872 Ph: (203) 261-7090 |
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