| Lynn Scott Cook, MD | |
|
409 W Oak St Ste 202, Carbondale, IL 62901-1464 | |
| (618) 529-0555 | |
| (618) 529-0556 |
| Full Name | Lynn Scott Cook |
|---|---|
| Gender | Male |
| Speciality | Thoracic Surgery (cardiothoracic Vascular Surgery) |
| Location | 409 W Oak St Ste 202, Carbondale, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508891219 | NPI | - | NPPES |
| 1508891219 | Other | IL | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2086S0129X | Surgery - Vascular Surgery | 036079723 (Illinois) | Secondary |
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 036079723 (Illinois) | Primary |
| Entity Name | Physician Services Corporation Of Southern Illinois Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831101807 PECOS PAC ID: 9234022567 Enrollment ID: O20040304000583 |
| Entity Name | Southern Illinois Medical Services Nfp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770656837 PECOS PAC ID: 3678677390 Enrollment ID: O20070404000595 |
| Mailing Address | Practice Location Address |
|---|---|
| Lynn Scott Cook, MD 14717 N 740 East Rd, Oakwood, IL 61858-9410 Ph: (217) 377-5768 | Lynn Scott Cook, MD 409 W Oak St Ste 202, Carbondale, IL 62901-1464 Ph: (618) 529-0555 |
Dr. Russell Leon Mcelveen, DO Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 409 W Oak St Ste 202, Carbondale, IL 62901 Phone: 618-529-0555 Fax: 618-529-0556 | |
John Ward Watson, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 305 W Jackson St Ste 206, Carbondale, IL 62901 Phone: 618-457-3006 Fax: 618-457-3007 |