Mandi Danielle Cooke, LCSW, LCAS is a medicare enrolled "Social Worker - Clinical" provider in Farmville, North Carolina. Her current practice location is
4730 Woodsway Ln, Farmville, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(252) 315-0676.
Mandi Danielle 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 1144869421.
Healthcare Provider's Profile
Full Name | Mandi Danielle Cooke |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 4730 Woodsway Ln, Farmville, 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: 1144869421
- Provider Enumeration Date: 01/03/2020
- Last Update Date: 12/26/2023
Medicare PECOS Information:
- PECOS PAC ID: 1850786468
- Enrollment ID: I20220317001958
Medical Identifiers
Medical identifiers for Mandi Danielle Cooke such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1144869421 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | (* (Not Available)) | 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. Mandi Danielle Cooke allows following entities to bill medicare on her behalf.
Entity Name | Haymount Institute For Psychological Services Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1528239993 PECOS PAC ID: 1153498415 Enrollment ID: O20080929000365 |
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Entity Name | Grow Healthcare Group Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20221208000188 |
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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. Mandi Danielle 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 |
Mandi Danielle Cooke, LCSW, LCAS 4730 Woodsway Ln, Farmville, NC 27828-8513 Ph: (252) 315-0676 | Mandi Danielle Cooke, LCSW, LCAS 4730 Woodsway Ln, Farmville, NC 27828-8513 Ph: (252) 315-0676 |
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