| Carolyn Jean Cooke, MD | |
|
25 W Main St, Austin, IN 47102 | |
| (812) 794-8100 | |
| (812) 794-8200 |
| Full Name | Carolyn Jean Cooke |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 25 W Main St, Austin, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609817378 | NPI | - | NPPES |
| 200392240 | Medicaid | IN | |
| P00046422 | Other | IN | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 01056482A (Indiana) | Primary |
| Entity Name | Well Care Community Health Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427694314 PECOS PAC ID: 9335576131 Enrollment ID: O20200217000539 |
| Mailing Address | Practice Location Address |
|---|---|
| Carolyn Jean Cooke, MD 203 E Main St, Richmond, IN 47374-4208 Ph: (659) 739-2947 | Carolyn Jean Cooke, MD 25 W Main St, Austin, IN 47102 Ph: (812) 794-8100 |
Mrs. Whitney Hall, NP Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 25 W Main St, Austin, IN 47102 Phone: 812-794-8100 Fax: 812-794-8200 | |
Dr. William E Cooke Jr., M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 25 W Main St, Austin, IN 47102 Phone: 812-794-8100 Fax: 812-794-8200 | |
Lauren Tegarden Basham, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 401 S Us Highway 31, Austin, IN 47102 Phone: 812-227-3831 |