| Dr Timothy G Cook, MD | |
|
79 North St, Granville, NY 12832-1137 | |
| (518) 642-0612 | |
| (518) 642-0693 |
| Full Name | Dr Timothy G Cook |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 31 Years |
| Location | 79 North St, Granville, New York |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720071095 | NPI | - | NPPES |
| 080177542 | Other | VT | RAILROAD MEDICARE |
| 49970 | Other | VT | BCBS VT |
| OVN2470 | Medicaid | VT | |
| 267562 | Other | VT | CIGNA |
| 08066 | Other | VT | MVP |
| 58435 | Other | VT | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 320347 (New York) | Primary |
| 173000000X | Legal Medicine | 042-0009268 (Vermont) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Hcr / Hcr Home Care Chha (plattsburgh) | Plattsburgh, NY | Home health agency |
| Glens Falls Hospital | Glens falls, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Glens Falls Hospital Inc | 8325955974 | 147 |
| Entity Name | Glens Falls Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336198217 PECOS PAC ID: 8325955974 Enrollment ID: O20031103000498 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Timothy G Cook, MD 100 Park Street, Glens Falls Hospital - Credentialing, Glens Falls, NY 12801-4413 Ph: (518) 926-6992 | Dr Timothy G Cook, MD 79 North St, Granville, NY 12832-1137 Ph: (518) 642-0612 |
Gordon M Thomas, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 79 North St, Granville Family Health Center, Granville, NY 12832 Phone: 518-642-0612 Fax: 518-642-0693 | |
Dr. Michael Lynch, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 19 Quaker St, Granville, NY 12832 Phone: 518-642-2872 |