Theil L Cooke Jr, APRN - Medicare Nurse Practitioner in Hildale, UT

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Theil L Cooke Jr, APRN is a medicare enrolled "Nurse Practitioner - Family" in Hildale, Utah. He graduated from nursing school in 2019 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. His current practice location is 1070 N Hildale St # 750, Hildale, Utah. You can reach out to his office (for appointments etc.) via phone at (352) 165-4884.

Theil L Cooke Jr is licensed to practice in Utah (license number 8273152-8900) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1790326353.

Contact Information

Theil L Cooke Jr, APRN
1070 N Hildale St # 750,
Hildale, UT 84784-7770
(352) 165-4884
(435) 216-5969

Map and Direction




Provider's Profile

Full NameTheil L Cooke Jr
GenderMale
SpecialityNurse Practitioner
Experience7 Years
Location1070 N Hildale St # 750, Hildale, Utah
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Theil L Cooke Jr graduated from nursing school in 2019
  NPI Data:
  • NPI Number: 1790326353
  • Provider Enumeration Date: 10/04/2019
  • Last Update Date: 02/01/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 9739516824
  • Enrollment ID: I20210426001670

Medical Identifiers

Medical identifiers for Theil L Cooke Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1790326353NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 233616 (Arizona)Secondary
363LF0000XNurse Practitioner - Family 8273152-8900 (Utah)Primary
163WE0003XRegistered Nurse - Emergency RN178632 (Arizona)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Intermountain Health St George Regional HospitalSt george, UTHospital

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. Theil L Cooke Jr allows following entities to bill medicare on his behalf.
Entity NameHometown Wellness PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285229856
PECOS PAC ID: 1850709189
Enrollment ID: O20210426001597

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. Theil L Cooke Jr 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
Theil L Cooke Jr, APRN
340 W Harker Ave # 750,
Colorado City, AZ 86021-6198

Ph: (928) 377-0629		Theil L Cooke Jr, APRN
1070 N Hildale St # 750,
Hildale, UT 84784-7770

Ph: (352) 165-4884

Reviews and Comments


Nurse Practitioner Nurses in Hildale, UT

Charlotte B. Johnson, CPNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1065 North Hildale St., Hildale, UT 84784
Phone: 436-874-2217    Fax: 435-874-7805
Shirley J. Barlow, APN, CNM
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1065 North Hildale, Hildale, UT 84784
Phone: 435-874-2217    Fax: 435-874-7805
Martha Barlow, APN, CNM
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1065 North Hildale St., Hildale, UT 84784
Phone: 435-874-2217    Fax: 435-874-7805

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.