| Sandra L Cook, DO | |
|
517 W Prospect Rd, Suite C, Ashtabula, OH 44004-5864 | |
| (440) 998-3385 | |
| (440) 992-5949 |
| Full Name | Sandra L Cook |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 517 W Prospect Rd, Ashtabula, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457467797 | NPI | - | NPPES |
| 0998078 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 34005601 (Ohio) | Primary |
| Entity Name | Signature Health, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679767289 PECOS PAC ID: 8628970985 Enrollment ID: O20040126000762 |
| Mailing Address | Practice Location Address |
|---|---|
| Sandra L Cook, DO Po Box 715067, Columbus, OH 43271-5067 Ph: (440) 998-3385 | Sandra L Cook, DO 517 W Prospect Rd, Suite C, Ashtabula, OH 44004-5864 Ph: (440) 998-3385 |
John Lee, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2422 Lake Ave, Ashtabula, OH 44004 Phone: 440-992-4422 | |
Gregory Charles Brant, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4716 N Ridge Rd W, Ashtabula, OH 44004 Phone: 440-969-1112 Fax: 440-969-9612 | |
Dr. Adeola Olufisayo Fakolade, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2259 Lake Ave, Ashtabula, OH 44004 Phone: 440-994-7654 | |
Dr. Brittany Joyce Telford, MD, MBBCH BAO Family Medicine Medicare: Medicare Enrolled Practice Location: 2420 Lake Ave, Ashtabula, OH 44004 Phone: 440-997-2262 Fax: 440-997-6507 | |
Dr. Archie Scott Wilkinson, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 2736 Lake Ave, Ashtabula, OH 44004 Phone: 440-992-7554 Fax: 440-992-3962 | |
Emily Rae Gempler, Family Medicine Medicare: Medicare Enrolled Practice Location: 3315 N Ridge Rd E Ste 200, Ashtabula, OH 44004 Phone: 440-285-6000 |