Diana L Cooke, MS is a medicare enrolled "Marriage & Family Therapist" provider in Jewett City, Connecticut. Her current practice location is
39 1/2 Wedgewood Dr Ste 1023, Jewett City, Connecticut. You can reach out to her office (for appointments etc.) via phone at
(860) 497-0024.
Diana L Cooke is licensed to practice in Connecticut (license number 002526) 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 1487908240.
Healthcare Provider's Profile
Full Name | Diana L Cooke |
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Gender | Female |
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Speciality | Marriage & Family Therapist |
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Location | 39 1/2 Wedgewood Dr Ste 1023, Jewett City, Connecticut |
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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: 1487908240
- Provider Enumeration Date: 11/01/2012
- Last Update Date: 02/23/2021
Medicare PECOS Information:
- PECOS PAC ID: 2264959386
- Enrollment ID: I20250512002000
Medical Identifiers
Medical identifiers for Diana L Cooke such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1487908240 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 185 (New Hampshire) | Secondary |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
106H00000X | Marriage & Family Therapist | 002526 (Connecticut) | 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. Diana L Cooke allows following entities to bill medicare on her behalf.
Entity Name | Northeast Couple And Family Therapy |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1902498918 PECOS PAC ID: 6901323021 Enrollment ID: O20250512001837 |
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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. Diana L 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 |
Diana L Cooke, MS 39 1/2 Wedgewood Dr Ste 1023, Jewett City, CT 06351-2439 Ph: (401) 290-7216 | Diana L Cooke, MS 39 1/2 Wedgewood Dr Ste 1023, Jewett City, CT 06351-2439 Ph: (860) 497-0024 |
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