| Ralph Duane Cook, MD | |
|
801 E Dixie Ave, Leesburg, FL 34748 | |
| (352) 742-1171 | |
| (352) 742-7241 |
| Full Name | Ralph Duane Cook |
|---|---|
| Gender | Male |
| Speciality | Thoracic Surgery |
| Experience | 42 Years |
| Location | 801 E Dixie Ave, Leesburg, Florida |
| 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 |
|---|---|---|---|
| 1689602161 | NPI | - | NPPES |
| 42936A | Other | FL | BCBS FL |
| 253974800 | Medicaid | FL | |
| 42936B | Other | FL | BCBS FL |
| 42936 | Other | FL | BCBS FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | ME75508 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Adventhealth Waterman | Tavares, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Florida Hospital Healthcare Partners, Inc | 7012266836 | 510 |
| Entity Name | Florida Clinical Practice Association Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063463768 PECOS PAC ID: 0345146254 Enrollment ID: O20031211000099 |
| Entity Name | Florida Hospital Healthcare Partners, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780100529 PECOS PAC ID: 7012266836 Enrollment ID: O20180831000335 |
| Mailing Address | Practice Location Address |
|---|---|
| Ralph Duane Cook, MD Po Box 945921, Atlanta, GA 30394-5921 Ph: (386) 231-4529 | Ralph Duane Cook, MD 801 E Dixie Ave, Leesburg, FL 34748 Ph: (352) 742-1171 |
Robert J Richardson, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 700 Doctors Ct, Leesburg, FL 34748 Phone: 352-787-9838 Fax: 352-787-8705 | |
Karen S Thompson, DO Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Medicare Enrolled Practice Location: 700 Doctors Ct, Leesburg, FL 34748 Phone: 352-787-9838 Fax: 352-787-8705 |