Ebony Joy Cooke, is a medicare enrolled "Physician Assistant" in Bunn, North Carolina. Her current practice location is
782 Dead Rd, Bunn, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(919) 559-6756.
Ebony Joy Cooke is licensed to practice in * (Not Available) (license number ) 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 1851062012.
Provider's Profile
Full Name | Ebony Joy Cooke |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 782 Dead Rd, Bunn, North Carolina |
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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: 1851062012
- Provider Enumeration Date: 09/27/2021
- Last Update Date: 05/23/2023
Medicare PECOS Information:
- PECOS PAC ID: 1456716208
- Enrollment ID: I20230428002829
Medical Identifiers
Medical identifiers for Ebony Joy Cooke such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1851062012 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | (* (Not Available)) | 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. Ebony Joy 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 |
Ebony Joy Cooke, 2061 Experiment Station Rd, Watkinsville, GA 30677-5328 Ph: (919) 559-6756 | Ebony Joy Cooke, 782 Dead Rd, Bunn, NC 27508-6014 Ph: (919) 559-6756 |
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