| Thomas R Cooke, DO | |
|
4254 Jackson Hwy, Chehalis, WA 98532-8424 | |
| (360) 996-6603 | |
| (360) 996-6604 |
| Full Name | Thomas R Cooke |
|---|---|
| Gender | Male |
| Speciality | General Practice |
| Experience | 49 Years |
| Location | 4254 Jackson Hwy, Chehalis, Washington |
| 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 |
|---|---|---|---|
| 1255427902 | NPI | - | NPPES |
| 2182956 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | OP00000823 (Washington) | Primary |
| 207Q00000X | Family Medicine | OP00000823 (Washington) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Assured Home Health And Hospice | Centralia, WA | Home health agency |
| Providence Centralia Hospital | Centralia, WA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lewis County Community Health Services | 6002803749 | 30 |
| Entity Name | Lewis County Community Health Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134164692 PECOS PAC ID: 6002803749 Enrollment ID: O20040426001899 |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas R Cooke, DO 2690 Ne Kresky Ave, Chehalis, WA 98532-2412 Ph: (360) 330-9595 | Thomas R Cooke, DO 4254 Jackson Hwy, Chehalis, WA 98532-8424 Ph: (360) 996-6603 |
Stephen D Hennessey, MD General Practice Medicare: Accepting Medicare Assignments Practice Location: 2690 Ne Kresky Ave, Chehalis, WA 98532 Phone: 360-330-9595 Fax: 360-330-9560 | |
Dr. David E Little, DO General Practice Medicare: Accepting Medicare Assignments Practice Location: 2690 Ne Kresky Ave, Chehalis, WA 98532 Phone: 360-330-9595 Fax: 360-330-9530 |