Dr Linda M Cooke, MD is a medicare enrolled "Dermatology" physician in Hannibal, Missouri. She went to Uniformed Services Uhs Fe Hebert School Of Med and graduated in 1989 and has 35 years of diverse experience with area of expertise as Dermatology. She is a member of the group practice Riverside Dermatology And Spa Llc and her current practice location is
163 Medical Dr, Hannibal, Missouri. You can reach out to her office (for appointments etc.) via phone at
(573) 248-3900.
Dr Linda M Cooke is licensed to practice in Missouri (license number 2004009689) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1679552350.
Physician's Profile
| Full Name | Dr Linda M Cooke |
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| Gender | Female |
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| Speciality | Dermatology |
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| Experience | 35 Years |
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| Location | 163 Medical Dr, Hannibal, Missouri |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Linda M Cooke attended and graduated from Uniformed Services Uhs Fe Hebert School Of Med in 1989
NPI Data:
- NPI Number: 1679552350
- Provider Enumeration Date: 01/11/2006
- Last Update Date: 05/02/2014
Medicare PECOS Information:
- PECOS PAC ID: 1254311616
- Enrollment ID: I20040726000084
Medical Identifiers
Medical identifiers for Dr Linda M Cooke such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1679552350 | NPI | - | NPPES |
| 209341403 | Medicaid | MO | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207N00000X | Dermatology | 2004009689 (Missouri) | Primary |
| 207ND0101X | Dermatology - Mohs-micrographic Surgery | 2004009689 (Missouri) | Secondary |
| 207NS0135X | Dermatology - Procedural Dermatology | 2004009689 (Missouri) | Secondary |
| 207NI0002X | Dermatology - Clinical & Laboratory Dermatological Immunology | 2004009689 (Missouri) | Secondary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Riverside Dermatology And Spa Llc | 7214282227 | 4 |
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. Dr Linda M Cooke allows following entities to bill medicare on her behalf.
| Entity Name | Riverside Dermatology & Spa Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1699262329
PECOS PAC ID: 7214282227
Enrollment ID: O20180615000066 |
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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. Dr Linda M 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 |
|---|
Dr Linda M Cooke, MD
163 Medical Dr,
Hannibal, MO 63401-6884
Ph: (573) 248-3900 | Dr Linda M Cooke, MD
163 Medical Dr,
Hannibal, MO 63401-6884
Ph: (573) 248-3900 |
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