| Dr Mitchell Andrew Cook, DPM | |
|
3329 W Deyoung St, Marion, IL 62959-5884 | |
| (618) 767-6050 | |
| (618) 294-8203 |
| Full Name | Dr Mitchell Andrew Cook |
|---|---|
| Gender | Male |
| Speciality | Podiatry |
| Experience | 14 Years |
| Location | 3329 W Deyoung St, Marion, Illinois |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285920835 | NPI | - | NPPES |
| 016005526 | Other | IL | ILLINOIS STATE LICENSE - PODIATRY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | 016.005526 (Illinois) | Secondary |
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 016.005526 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Heartland Regional Medical Center | Marion, IL | Hospital |
| Harrisburg Medical Center | Harrisburg, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Deaconess Illinois Specialty Clinic, Inc. | 9830562016 | 95 |
| Provider Name | Southern Illinois Medical Services Nfp |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1770656837 PECOS PAC ID: 3678677390 Enrollment ID: O20070404000595 |
| Provider Name | Deaconess Illinois Specialty Clinic, Inc. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1972210235 PECOS PAC ID: 9830562016 Enrollment ID: O20230321001688 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mitchell Andrew Cook, DPM 3329 W Deyoung St, Marion, IL 62959-5884 Ph: (618) 767-6050 | Dr Mitchell Andrew Cook, DPM 3329 W Deyoung St, Marion, IL 62959-5884 Ph: (618) 767-6050 |
Dr. Jeffery S Deacon, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 3403 Professional Park Dr, Marion, IL 62959 Phone: 618-993-0333 Fax: 618-993-0545 | |
Marion Diagnostic Center, Llc Podiatrist Medicare: Medicare Enrolled Practice Location: 3003 Civic Circle Blvd Suite 200, Marion, IL 62959 Phone: 618-993-1400 Fax: 618-993-1522 | |
William P. Hess Sr., D.P.M. Podiatrist Medicare: Medicare Enrolled Practice Location: 1506 W Main St, Marion, IL 62959 Phone: 618-997-9369 Fax: 618-997-4755 | |
Dr. Gary E Baer, D.P.M. Podiatrist Medicare: Medicare Enrolled Practice Location: 2401 W Main St, Marion, IL 62959 Phone: 618-998-5614 |