Mrs Carol A Cooke, CRNP - Medicare Nurse Practitioner in Centerville, OH

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Mrs Carol A Cooke, CRNP is a medicare enrolled "Nurse Practitioner - Family" in Centerville, Ohio. She graduated from nursing school in 1997 and has 29 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Kettering Independent Medical Group Inc and her current practice location is 6438 Wilmington Pike, Suite 300, Centerville, Ohio. You can reach out to her office (for appointments etc.) via phone at (937) 848-4850.

Mrs Carol A Cooke is licensed to practice in Ohio (license number COA05642NP) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1144496985.

Contact Information

Mrs Carol A Cooke, CRNP
6438 Wilmington Pike, Suite 300,
Centerville, OH 45459
(937) 848-4850
(937) 848-4858

Map and Direction




Provider's Profile

Full NameMrs Carol A Cooke
GenderFemale
SpecialityNurse Practitioner
Experience29 Years
Location6438 Wilmington Pike, Centerville, Ohio
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mrs Carol A Cooke graduated from nursing school in 1997
  NPI Data:
  • NPI Number: 1144496985
  • Provider Enumeration Date: 05/01/2008
  • Last Update Date: 01/28/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 3678724721
  • Enrollment ID: I20121119000367

Medical Identifiers

Medical identifiers for Mrs Carol A Cooke such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1144496985NPI-NPPES
0074036MedicaidOH
RX05642OtherOHCERTIFICATE TO PRESCRIBE
COA05642NPOtherOHLICENSE NP

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family COA05642NP (Ohio)Primary
207V00000XObstetrics & Gynecology RN212344 (Ohio)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Soin Medical CenterBeaver creek, OHHospital
Kettering Health Main CampusKettering, OHHospital
Kettering Health DaytonDayton, OHHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Kettering Independent Medical Group Inc3173710936699

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. Mrs Carol A Cooke allows following entities to bill medicare on her behalf.
Entity NameKettering Independent Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629387865
PECOS PAC ID: 3173710936
Enrollment ID: O20101207000425

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. Mrs Carol A Cooke 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 AddressPractice Location Address
Mrs Carol A Cooke, CRNP
6438 Wilmington Pike Ste 300,
Centerville, OH 45459-7021

Ph: (937) 848-4850		Mrs Carol A Cooke, CRNP
6438 Wilmington Pike, Suite 300,
Centerville, OH 45459

Ph: (937) 848-4850

Reviews and Comments


Nurse Practitioner Nurses in Centerville, OH

Brittany Renee Montgomery, CNP
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Phone: 937-208-8394    Fax: 937-641-2780
Mr. Benjamin Daniel Malcolm, FNP
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Eric Harris, FNP
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Phone: 937-208-8282    
Richard Foreman,
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Practice Location: 2350 Miami Valley Dr Ste 210, Centerville, OH 45459
Phone: 937-276-8320    Fax: 937-276-8325

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.