Theil L Cooke Jr, APRN is a medicare enrolled "Nurse Practitioner - Family" in Hildale, Utah. He graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. His current practice location is
1070 N Hildale St # 750, Hildale, Utah. You can reach out to his office (for appointments etc.) via phone at
(352) 165-4884.
Theil L Cooke Jr is licensed to practice in Utah (license number 8273152-8900) 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 1790326353.
Provider's Profile
Full Name | Theil L Cooke Jr |
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Gender | Male |
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Speciality | Nurse Practitioner |
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Experience | 5 Years |
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Location | 1070 N Hildale St # 750, Hildale, Utah |
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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. |
Medical Education and Training:
- Theil L Cooke Jr graduated from nursing school in 2019
NPI Data:
- NPI Number: 1790326353
- Provider Enumeration Date: 10/04/2019
- Last Update Date: 02/01/2023
Medicare PECOS Information:
- PECOS PAC ID: 9739516824
- Enrollment ID: I20210426001670
Medical Identifiers
Medical identifiers for Theil L Cooke Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1790326353 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | 233616 (Arizona) | Secondary |
363LF0000X | Nurse Practitioner - Family | 8273152-8900 (Utah) | Primary |
163WE0003X | Registered Nurse - Emergency | RN178632 (Arizona) | Secondary |
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. Theil L Cooke Jr allows following entities to bill medicare on his behalf.
Entity Name | Hometown Wellness Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1285229856 PECOS PAC ID: 1850709189 Enrollment ID: O20210426001597 |
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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. Theil L Cooke Jr 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 |
Theil L Cooke Jr, APRN 340 W Harker Ave # 750, Colorado City, AZ 86021-6198 Ph: (928) 377-0629 | Theil L Cooke Jr, APRN 1070 N Hildale St # 750, Hildale, UT 84784-7770 Ph: (352) 165-4884 |
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