David Cook, is a medicare enrolled "Family Medicine" physician in Colona, Illinois. He graduated from medical school in 2022 and has 4 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Hammond Henry Dist Hospital and his current practice location is
1604 Cleveland Rd, Colona, Illinois. You can reach out to his office (for appointments etc.) via phone at
(309) 949-2999.
David Cook is licensed to practice in Illinois (license number 125.080373) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1043955768.
Physician's Profile
| Full Name | David Cook |
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| Gender | Male |
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| Speciality | Family Practice |
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| Experience | 4 Years |
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| Location | 1604 Cleveland Rd, Colona, Illinois |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- David Cook graduated from medical school in 2022
NPI Data:
- NPI Number: 1043955768
- Provider Enumeration Date: 04/28/2022
- Last Update Date: 03/20/2026
Medicare PECOS Information:
- PECOS PAC ID: 0840654463
- Enrollment ID: I20230915001313
Medical Identifiers
Medical identifiers for David Cook such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1043955768 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207Q00000X | Family Medicine | 125.080373 (Illinois) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Hammond Henry Dist Hospital | 0143115949 | 40 |
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. David Cook allows following entities to bill medicare on his behalf.
| Entity Name | Ksb Medical Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1073592119 PECOS PAC ID: 7911890009 Enrollment ID: O20040203000860 |
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| Entity Name | Katherine Shaw Bethea Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1427043546 PECOS PAC ID: 2264480037 Enrollment ID: O20081218000029 |
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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. David Cook 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 |
David Cook, 1501 E Gardner Ln Apt 614, Peoria Heights, IL 61616-3625 Ph: () - | David Cook, 1604 Cleveland Rd, Colona, IL 61241-8970 Ph: (309) 949-2999 |
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