Ms Candice Mignonne Cook, MED in Bolivar, TN - Medicare Speech-Language Pathologist Provider

Ms Candice Mignonne Cook, MED is a medicare enrolled "Speech-language Pathologist" provider in Bolivar, Tennessee. Her current practice location is 602 Tennessee St Ste C, Bolivar, Tennessee. You can reach out to her office (for appointments etc.) via phone at (888) 507-1113.

Ms Candice Mignonne Cook is licensed to practice in Tennessee (license number 0000003346) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1265617492.

Contact Information

	Ms Candice Mignonne Cook, MED
	602 Tennessee St Ste C, Bolivar, TN 38008-2434
	(888) 507-1113
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Candice Mignonne Cook
Gender	Female
Speciality	Speech-language Pathologist
Location	602 Tennessee St Ste C, Bolivar, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1265617492
Provider Enumeration Date: 01/07/2008
Last Update Date: 12/04/2020

Medicare PECOS Information:

PECOS PAC ID: 4880993690
Enrollment ID: I20160429000531

Medical Identifiers

Medical identifiers for Ms Candice Mignonne Cook such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265617492	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	0000003346 (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. Ms Candice Mignonne Cook allows following entities to bill medicare on her behalf.

Provider Name	All Ways Therapies Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1235590506 PECOS PAC ID: 5092014803 Enrollment ID: O20160429000320

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. Ms Candice Mignonne 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
Ms Candice Mignonne Cook, MED 602 Tennessee St Ste C, Bolivar, TN 38008-2434 Ph: (888) 507-1113	Ms Candice Mignonne Cook, MED 602 Tennessee St Ste C, Bolivar, TN 38008-2434 Ph: (888) 507-1113

Reviews and Comments

Speech-Language Pathologist in Bolivar, TN

Mrs. Angela Farr, SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 700 Nuckolls Rd, Bolivar, TN 38008 Phone: 901-658-4707
Mackenzie Culver German, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1340 Nuckolls Rd, Bolivar, TN 38008 Phone: 731-571-9093
Mrs. Deanna Lunsford, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 700 Nuckolls Rd, Bolivar, TN 38008 Phone: 731-658-4707
Rachel Leach, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 700 Nuckolls Rd, Bolivar, TN 38008 Phone: 731-658-4707
Tanya S Willis, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 10815 Old Highway 64, Bolivar, TN 38008 Phone: 731-658-2510

Ms Candice Mignonne Cook, MED - Medicare Speech-Language Pathologist in Bolivar, TN