Mrs Cynthia Diane Cockerham, - Medicare Speech-Language Pathologist in Mississippi State, MS

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Mrs Cynthia Diane Cockerham, is a medicare enrolled "Speech-language Pathologist" provider in Mississippi State, Mississippi. Her current practice location is 326 Hardy Road, Mississippi State, Mississippi. You can reach out to her office (for appointments etc.) via phone at (662) 325-0876.

Mrs Cynthia Diane Cockerham is licensed to practice in Mississippi (license number S4500) 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 1083198717.

Contact Information

Mrs Cynthia Diane Cockerham,
326 Hardy Road,
Mississippi State, MS 39762
(662) 325-0876
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameMrs Cynthia Diane Cockerham
GenderFemale
SpecialitySpeech-language Pathologist
Location326 Hardy Road, Mississippi State, Mississippi
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1083198717
  • Provider Enumeration Date: 09/19/2018
  • Last Update Date: 09/19/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 4981138229
  • Enrollment ID: I20241111000135

Medical Identifiers

Medical identifiers for Mrs Cynthia Diane Cockerham such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083198717NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
235Z00000XSpeech-language Pathologist S4500 (Mississippi)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. Mrs Cynthia Diane Cockerham allows following entities to bill medicare on her behalf.
Provider NameAgilitas Usa Inc
Provider TypePart B Supplier - Physical/occupational Therapy Group In Private Practice
Provider IdentifiersNPI Number: 1962417444
PECOS PAC ID: 3375454648
Enrollment ID: O20130219000317
Provider NameDpti Elite Physical Therapy Llc
Provider TypePart B Supplier - Physical/occupational Therapy Group In Private Practice
Provider IdentifiersNPI Number: 1386010718
PECOS PAC ID: 0547579401
Enrollment ID: O20151016001144
Provider NameDrayer Physical Therapy Mississippi Llc
Provider TypePart B Supplier - Physical/occupational Therapy Group In Private Practice
Provider IdentifiersNPI Number: 1952732448
PECOS PAC ID: 3274834858
Enrollment ID: O20160314001040
Provider NameBenchmark Physical Therapy Of Mississippi Llc
Provider TypePart B Supplier - Physical/occupational Therapy Group In Private Practice
Provider IdentifiersNPI Number: 1811547680
PECOS PAC ID: 0840626446
Enrollment ID: O20200130000021

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 Cynthia Diane Cockerham 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 AddressPractice Location Address
Mrs Cynthia Diane Cockerham,
40257 Self Rd,
Hamilton, MS 39746-8726

Ph: (662) 251-8681		Mrs Cynthia Diane Cockerham,
326 Hardy Road,
Mississippi State, MS 39762

Ph: (662) 325-0876

Reviews and Comments


Speech-Language Pathologist in Mississippi State, MS

Janie Cirlot-new, M.S., CCC/SLP
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 326 Hardy Road, Mississippi State, MS 39762
Phone: 662-325-1028    Fax: 662-325-0896
Lori L Arinder, MS, CCC-SLP
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 326 Hardy Road, Mississippi State, MS 39762
Phone: 662-325-1028    
Janette Hreish, MS. CF-SLP
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 326 Hardy Road, Mississippi State, MS 39762
Phone: 662-325-1028    

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