Louisa Benson Mook, is a medicare enrolled "Pediatrics" physician in Fort Washakie, Wyoming. Her current practice location is
28 Black Coal Dr, Fort Washakie, Wyoming. You can reach out to her office (for appointments etc.) via phone at
(307) 332-7300.
Louisa Benson Mook is licensed to practice in Wyoming (license number 12601A) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1710229810.
Physician's Profile
| Full Name | Louisa Benson Mook |
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| Gender | Female |
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| Speciality | Pediatrics |
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| Location | 28 Black Coal Dr, Fort Washakie, Wyoming |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1710229810
- Provider Enumeration Date: 03/27/2013
- Last Update Date: 02/14/2020
Medicare PECOS Information:
- PECOS PAC ID: 6901126036
- Enrollment ID: I20200303002015
Medical Identifiers
Medical identifiers for Louisa Benson Mook such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1710229810 | NPI | - | NPPES |
| 1710229810 | Other | MT | NPS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208000000X | Pediatrics | 60386546 (Washington) | Secondary |
| 208000000X | Pediatrics | 12601A (Wyoming) | Primary |
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. Louisa Benson Mook allows following entities to bill medicare on her behalf.
| Entity Name | Wind River Family & Community Health Care |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1285006379
PECOS PAC ID: 1850683780
Enrollment ID: O20160713000531 |
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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. Louisa Benson Mook 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 |
|---|
Louisa Benson Mook,
Po Box 128,
Fort Washakie, WY 82514-0128
Ph: (307) 332-7300 | Louisa Benson Mook,
28 Black Coal Dr,
Fort Washakie, WY 82514
Ph: (307) 332-7300 |
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