Annetta Jean Cooke, RD is a
Dietitian, Registered based in Paris, Texas. Annetta Jean Cooke is licensed to practice in Texas (license number DT03646) and her current practice location is
1055 Clarksville St, Suite 140, Paris, Texas. She can be reached at her office (for appointments etc.) via phone at
(903) 783-1131.
NPI number for Annetta Jean Cooke is 1043445117 and her current mailing address is 1055 Clarksville St, Suite 140, Paris, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1043445117.
Healthcare Provider's Profile
| Full Name | Annetta Jean Cooke |
|---|
| Gender | Female |
|---|
| Speciality | Dietitian, Registered |
|---|
| Location | 1055 Clarksville St, Paris, Texas |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1043445117
- Provider Enumeration Date: 05/19/2009
- Last Update Date: 05/19/2009
Medical Identifiers
Medical identifiers for Annetta Jean Cooke such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1043445117 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 133V00000X | Dietitian, Registered | DT03646 (Texas) | 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. Annetta Jean Cooke is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Annetta Jean Cooke, RD 1055 Clarksville St, Suite 140, Paris, TX 75460-6097 Ph: (903) 783-1131 | Annetta Jean Cooke, RD 1055 Clarksville St, Suite 140, Paris, TX 75460-6097 Ph: (903) 783-1131 |
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