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 | Foundations Family Medicine Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720097322 PECOS PAC ID: 8729056262 Enrollment ID: O20040922000314 |
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: Medicare Enrolled 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 |