Jalen Thomas Cook, in Bristol, TN - Medicare Optometrist Provider

Jalen Thomas Cook, is a medicare enrolled "Optometrist" provider in Bristol, Tennessee. His current practice location is 3185 W State St Ste 2010, Bristol, Tennessee. You can reach out to his office (for appointments etc.) via phone at (423) 968-7555.

Jalen Thomas Cook is licensed to practice in Tennessee (license number 123456789) 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 1205675402.

Contact Information

	Jalen Thomas Cook,
	3185 W State St Ste 2010, Bristol, TN 37620-1600
	(423) 968-7555
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jalen Thomas Cook
Gender	Male
Speciality	Optometrist
Location	3185 W State St Ste 2010, Bristol, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1205675402
Provider Enumeration Date: 05/20/2024
Last Update Date: 05/20/2024

Medicare PECOS Information:

PECOS PAC ID: 1658819438
Enrollment ID: I20240812001241

Medical Identifiers

Medical identifiers for Jalen Thomas Cook such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1205675402	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	123456789 (Tennessee)	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. Jalen Thomas Cook allows following entities to bill medicare on his behalf.

Provider Name	Mountain Empire Eye Physicians, P.l.l.c.
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1609969682 PECOS PAC ID: 3870578248 Enrollment ID: O20040721000074

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. Jalen Thomas 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
Jalen Thomas Cook, 3185 W State St Ste 2010, Bristol, TN 37620-1600 Ph: (423) 968-7555	Jalen Thomas Cook, 3185 W State St Ste 2010, Bristol, TN 37620-1600 Ph: (423) 968-7555

Reviews and Comments

Optometrist in Bristol, TN

Optometrist Medicare: Not Enrolled in Medicare Practice Location: 308 Ridgemont St, Bristol, TN 37620 Phone: 423-764-7630 Fax: 423-764-7630
Mrs. Rhonda Fletcher Smith, DPO Optometrist Medicare: Not Enrolled in Medicare Practice Location: 308 Ridgemont St, Bristol, TN 37620 Phone: 423-764-7630
Dr. William R Shumaker, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 321 Midway Medical Park, Bristol, TN 37620 Phone: 423-968-3441
Dr. Shawna Marie Feeley, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 321 Midway Medical Park, Suite 2, Bristol, TN 37620 Phone: 423-968-3441 Fax: 423-968-5674
Parag Kanitkar, OD Optometrist Medicare: Medicare Enrolled Practice Location: 1262 Volunteer Pkwy, Bristol, TN 37620 Phone: 423-989-3737 Fax: 423-989-9513
Jennifer Fishel, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3185 W State St Ste 2010, Bristol, TN 37620 Phone: 423-968-7555

Jalen Thomas Cook, - Medicare Optometrist in Bristol, TN