Cindy Dian Cook, APRN is a medicare enrolled "Nurse Practitioner - Family" in Amity, Arkansas. Her current practice location is
210 N Main St, Amity, Arkansas. You can reach out to her office (for appointments etc.) via phone at
(870) 342-5606.
Cindy Dian Cook is licensed to practice in Arkansas (license number 124336) 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 1619503869.
Provider's Profile
| Full Name | Cindy Dian Cook |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 210 N Main St, Amity, Arkansas |
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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: 1619503869
- Provider Enumeration Date: 03/19/2020
- Last Update Date: 03/19/2020
Medicare PECOS Information:
- PECOS PAC ID: 9931538287
- Enrollment ID: I20200407003441
Medical Identifiers
Medical identifiers for Cindy Dian Cook such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1619503869 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 124336 (Arkansas) | 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. Cindy Dian Cook allows following entities to bill medicare on her behalf.
| Entity Name | Cabun Rural Health Services, Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1912946807
PECOS PAC ID: 9133029234
Enrollment ID: O20040113000620 |
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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. Cindy Dian Cook 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 |
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Cindy Dian Cook, APRN
Po Box 218,
Amity, AR 71921-0218
Ph: (870) 342-5606 | Cindy Dian Cook, APRN
210 N Main St,
Amity, AR 71921-9733
Ph: (870) 342-5606 |
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