Richard Edward Cooksley, PA is a medicare enrolled "Physician Assistant - Medical" in Canyonville, Oregon. He went to University Of California, Davis School Of Medicine and graduated in 1983 and has 42 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Dr Anna Llc and his current practice location is
115 S Pine St, Canyonville, Oregon. You can reach out to his office (for appointments etc.) via phone at
(541) 839-4211.
Richard Edward Cooksley is licensed to practice in Oregon (license number PA00272) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1942271192.
Provider's Profile
| Full Name | Richard Edward Cooksley |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 42 Years |
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| Location | 115 S Pine St, Canyonville, Oregon |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Richard Edward Cooksley attended and graduated from University Of California, Davis School Of Medicine in 1983
NPI Data:
- NPI Number: 1942271192
- Provider Enumeration Date: 01/27/2006
- Last Update Date: 10/18/2018
Medicare PECOS Information:
- PECOS PAC ID: 4486717378
- Enrollment ID: I20090121000139
Medical Identifiers
Medical identifiers for Richard Edward Cooksley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1942271192 | NPI | - | NPPES |
| 930087876 | Other | OR | RAILROAD MEDICARE |
| PA00272 | Other | OR | STATE LICENSE |
| 165878 | Medicaid | OR | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363AM0700X | Physician Assistant - Medical | PA00272 (Oregon) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Dr Anna Llc | 1254552839 | 3 |
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. Richard Edward Cooksley 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 |
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Richard Edward Cooksley, PA
Po Box 888,
Canyonville, OR 97417-0888
Ph: (541) 839-4211 | Richard Edward Cooksley, PA
115 S Pine St,
Canyonville, OR 97417-9648
Ph: (541) 839-4211 |
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