| Jacob Cockerhan, PMHNP | |
|
279 Summit Dr, Waterford, MI 48328-3364 | |
| (248) 745-4900 | |
| Not Available |
| Full Name | Jacob Cockerhan |
|---|---|
| Gender | Male |
| Speciality | Registered Nurse |
| Location | 279 Summit Dr, Waterford, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922539378 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 4704315433 (Michigan) | Secondary |
| 163W00000X | Registered Nurse | 4704315433 (Michigan) | Primary |
| Entity Name | Cns Healthcare |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770538068 PECOS PAC ID: 8729980198 Enrollment ID: O20040126000163 |
| Mailing Address | Practice Location Address |
|---|---|
| Jacob Cockerhan, PMHNP 279 Summit Dr, Waterford, MI 48328-3364 Ph: () - | Jacob Cockerhan, PMHNP 279 Summit Dr, Waterford, MI 48328-3364 Ph: (248) 745-4900 |
Nicole Irene Back, Registered Nurse Medicare: Medicare Enrolled Practice Location: 5758 Cooley Lake Rd, Waterford, MI 48327 Phone: 855-466-3631 | |
Cheryl Mathis, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 6522 Woodhaven Dr Apt 1, Waterford, MI 48327 Phone: 248-345-1481 | |
Nicole M Ulrich, RN, CCM, CNLCP Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 4489 W Walton Blvd, Waterford, MI 48329 Phone: 248-674-1028 Fax: 888-551-1057 | |
Linda Ching, R.N. Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 4382 Forest Ave, Waterford, MI 48328 Phone: 248-342-9898 | |
Mrs. Hannah Rose Cardinale, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 279 Summit Dr, Waterford, MI 48328 Phone: 248-745-4900 | |
Veronica Donzella Upchurch, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 740 Cedarlawn Rd, Waterford, MI 48328 Phone: 248-636-5028 | |
Madison Rae Martin, RN, MSN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 7124 Highland Rd, Waterford, MI 48327 Phone: 248-431-7245 |