Mrs Deidra K Cockroft, PT in Kosciusko, MS - Medicare Physical Therapy Provider

Mrs Deidra K Cockroft, PT is a medicare enrolled "Physical Therapist" provider in Kosciusko, Mississippi. She graduated from medical school in 1992 and has 32 years of diverse experience with area of expertise as Physical Therapy. She is a member of the group practice Premier Medical Group Of Mississippi Llc and her current practice location is 130 Parkway Plz, Kosciusko, Mississippi. You can reach out to her office (for appointments etc.) via phone at (662) 289-3588.

Mrs Deidra K Cockroft is licensed to practice in Mississippi (license number PT1152) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1265495154.

Contact Information

	Mrs Deidra K Cockroft, PT
	130 Parkway Plz, Kosciusko, MS 39090-3217
	(662) 289-3588
	(662) 289-3533

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Deidra K Cockroft
Gender	Female
Speciality	Physical Therapy
Experience	32 Years
Location	130 Parkway Plz, Kosciusko, Mississippi
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Deidra K Cockroft graduated from medical school in 1992

NPI Data:

NPI Number: 1265495154
Provider Enumeration Date: 04/11/2006
Last Update Date: 03/31/2022

Medicare PECOS Information:

PECOS PAC ID: 8921051608
Enrollment ID: I20050222000714

Medical Identifiers

Medical identifiers for Mrs Deidra K Cockroft such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265495154	NPI	-	NPPES
01584323	Medicaid	MS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT1152 (Mississippi)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Premier Medical Group Of Mississippi Llc	8729973623	25

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. Mrs Deidra K Cockroft allows following entities to bill medicare on her behalf.

Provider Name	Premier Medical Group Of Mississippi Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1790827038 PECOS PAC ID: 8729973623 Enrollment ID: O20040219000254

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. Mrs Deidra K Cockroft 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
Mrs Deidra K Cockroft, PT Po Box 23996, Jackson, MS 39225-3996 Ph: (601) 206-6100	Mrs Deidra K Cockroft, PT 130 Parkway Plz, Kosciusko, MS 39090-3217 Ph: (662) 289-3588

Reviews and Comments

Physical Therapist in Kosciusko, MS

Susan Elaine Cappelli, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7597 Attala Road 5216, Kosciusko, MS 39090 Phone: 601-416-5715
Ms. Christi W Sims, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 130 Parkway Plz, Kosciusko, MS 39090 Phone: 662-289-3588 Fax: 662-289-3533
Ms. Tammy Mcgee, P.T Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 140 N Wells St, Kosciusko, MS 39090 Phone: 662-290-6020 Fax: 662-290-6070
Haley Kuhn, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 108 Veterans Memorial Dr, Kosciusko, MS 39090 Phone: 769-777-4400 Fax: 769-777-4401
Whitney Canoy, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 310 Autumn Ridge Dr, Kosciusko, MS 39090 Phone: 662-289-3499
Dr. Carlie Savannah Payton-rutledge, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 340 Highway 12 W, Kosciusko, MS 39090 Phone: 662-289-3588 Fax: 662-289-3533

Mrs Deidra K Cockroft, PT - Medicare Physical Therapist in Kosciusko, MS