Randolph D Cooke, PHD is a medicare enrolled "Psychologist - Clinical" provider in Ft. Gordon, Georgia. His current practice location is
300 Hospital Rd, Family Medicine Clinic, Ft. Gordon, Georgia. You can reach out to his office (for appointments etc.) via phone at
(706) 787-9352.
Randolph D Cooke is licensed to practice in Arizona (license number 3124) 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 1861475899.
Healthcare Provider's Profile
Full Name | Randolph D Cooke |
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Gender | Male |
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Speciality | Psychologist - Clinical |
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Location | 300 Hospital Rd, Ft. Gordon, Georgia |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1861475899
- Provider Enumeration Date: 11/23/2005
- Last Update Date: 10/08/2013
Medicare PECOS Information:
- PECOS PAC ID: 7416188974
- Enrollment ID: I20140326000570
Medical Identifiers
Medical identifiers for Randolph D Cooke such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1861475899 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TC0700X | Psychologist - Clinical | 3124 (Arizona) | Primary |
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. Randolph D Cooke 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 |
Randolph D Cooke, PHD 300 Hospital Road, Family Medicine Clinic, Ft Gordon, GA 30905-5650 Ph: (706) 787-0232 | Randolph D Cooke, PHD 300 Hospital Rd, Family Medicine Clinic, Ft. Gordon, GA 30905 Ph: (706) 787-9352 |
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