Mr Connie Dale Cook Ii, PAC is a medicare enrolled "Physician Assistant - Medical" in Man, West Virginia. His current practice location is
600 E Mcdonald Ave, Man, West Virginia. You can reach out to his office (for appointments etc.) via phone at
(304) 583-6541.
Mr Connie Dale Cook Ii is licensed to practice in West Virginia (license number 626) 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 1164426128.
Provider's Profile
Full Name | Mr Connie Dale Cook Ii |
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Gender | Male |
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Speciality | Physician Assistant - Medical |
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Location | 600 E Mcdonald Ave, Man, West Virginia |
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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: 1164426128
- Provider Enumeration Date: 06/08/2005
- Last Update Date: 02/11/2010
Medicare PECOS Information:
- PECOS PAC ID: 9830187806
- Enrollment ID: I20040506000449
Medical Identifiers
Medical identifiers for Mr Connie Dale Cook Ii such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1164426128 | NPI | - | NPPES |
3810000560 | Medicaid | WV | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363AM0700X | Physician Assistant - Medical | 626 (West 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. Mr Connie Dale Cook Ii 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 |
Mr Connie Dale Cook Ii, PAC 1650 Main Street, Pineville, WV 24874-1650 Ph: (304) 732-6735 | Mr Connie Dale Cook Ii, PAC 600 E Mcdonald Ave, Man, WV 25635-1097 Ph: (304) 583-6541 |
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