| John Edward Cook, MD | |
|
600 N Sioux Point Rd, Dakota Dunes, SD 57049-5000 | |
| (605) 232-3332 | |
| (605) 232-0854 |
| Full Name | John Edward Cook |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology - Pain Medicine |
| Location | 600 N Sioux Point Rd, Dakota Dunes, South Dakota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093736779 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207LP2900X | Anesthesiology - Pain Medicine | 3766 (South Dakota) | Primary |
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | 3766 (South Dakota) | Secondary |
| Entity Name | Midwest Pain Clinic Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043482094 PECOS PAC ID: 5597834291 Enrollment ID: O20100709000062 |
| Mailing Address | Practice Location Address |
|---|---|
| John Edward Cook, MD 232 Shadow Valley Bnd, Dakota Dunes, SD 57049-5159 Ph: (605) 232-9614 | John Edward Cook, MD 600 N Sioux Point Rd, Dakota Dunes, SD 57049-5000 Ph: (605) 232-3332 |
Todd Christopher Johnson, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 101 Tower Rd Ste 103, Dakota Dunes, SD 57049 Phone: 605-217-7246 Fax: 605-217-4878 | |
Sara Ann Fouts, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 600 N Sioux Point Rd, Dakota Dunes, SD 57049 Phone: 605-232-3332 | |
Dr. Wade Lukken, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 600 N Sioux Point Rd, Dakota Dunes, SD 57049 Phone: 605-232-3332 Fax: 605-232-0854 | |
Robert G Zimmerman, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 600 N Sioux Point Rd, Dakota Dunes, SD 57049 Phone: 605-232-3332 Fax: 605-232-0854 | |
Frederick Charles Fisher, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 600 N Sioux Point Rd, Dakota Dunes, SD 57049 Phone: 605-232-3332 Fax: 605-232-0854 | |
Dr. Jeremy Poulsen, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 101 Tower Rd, Dakota Dunes, SD 57049 Phone: 605-217-7246 Fax: 605-217-4878 |