Ms Laci Nicole Cook, CPNP - Medicare Nurse Practitioner in Holbrook, NY

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Ms Laci Nicole Cook, CPNP is a medicare enrolled "Nurse Practitioner - Pediatrics" in Holbrook, New York. Her current practice location is 270 Union Ave, Holbrook, New York. You can reach out to her office (for appointments etc.) via phone at (631) 588-4442.

Ms Laci Nicole Cook is licensed to practice in New York (license number 20142655) 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 1073906749.

Contact Information

Ms Laci Nicole Cook, CPNP
270 Union Ave,
Holbrook, NY 11741-1823
(631) 588-4442
Not Available

Map and Direction




Provider's Profile

Full NameMs Laci Nicole Cook
GenderFemale
SpecialityNurse Practitioner - Pediatrics
Location270 Union Ave, Holbrook, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1073906749
  • Provider Enumeration Date: 03/05/2015
  • Last Update Date: 04/08/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 6406103910
  • Enrollment ID: I20180716000363

Medical Identifiers

Medical identifiers for Ms Laci Nicole Cook such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073906749NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0200XNurse Practitioner - Pediatrics 20142655 (New York)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. Ms Laci Nicole Cook allows following entities to bill medicare on her behalf.
Entity NameOptum Medical Care Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1982643003
PECOS PAC ID: 9931013240
Enrollment ID: O20031119000321
Entity NameProhealth Care Associates Llp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275596280
PECOS PAC ID: 4486544186
Enrollment ID: O20040317000468
Entity NameNorth Shore-lij Medical Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053688572
PECOS PAC ID: 3375701568
Enrollment ID: O20120220000262

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. Ms Laci Nicole 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 AddressPractice Location Address
Ms Laci Nicole Cook, CPNP
91 Beech St,
Lake Grove, NY 11755-3145

Ph: (917) 748-5073		Ms Laci Nicole Cook, CPNP
270 Union Ave,
Holbrook, NY 11741-1823

Ph: (631) 588-4442

Reviews and Comments


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Ms. Victoria Vamos, NP
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Phone: 631-580-0000    Fax: 631-580-0001
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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.

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