| Terry R Cook, DPM | |
|
1478 East Hwy 162, Montezuma Creek, UT 84534 | |
| (435) 651-3700 | |
| Not Available |
| Full Name | Terry R Cook |
|---|---|
| Gender | Male |
| Speciality | Podiatry |
| Experience | 31 Years |
| Location | 1478 East Hwy 162, Montezuma Creek, Utah |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285636449 | NPI | - | NPPES |
| 609395 | Other | CO | HMO BCBS CO |
| 04023719 | Medicaid | CO | |
| 870579394001 | Other | CO | ROCKY MOUNTAIN HMO |
| 50763 | Other | CO | BCBS OF CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | 540 (Colorado) | Secondary |
| 213E00000X | Podiatrist | 3406870501 (Utah) | Secondary |
| 213ES0131X | Podiatrist - Foot Surgery | 540 (Colorado) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Zion's Way Home Health | St george, UT | Home health agency |
| Blue Mountain Hospital | Blanding, UT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Jason B Dickerson Dpm Lc | 0345507984 | 6 |
| Utah Navajo Health System Incorporated | 1658275649 | 45 |
| Provider Name | Utah Navajo Health System Incorporated |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1811991151 PECOS PAC ID: 1658275649 Enrollment ID: O20031121000239 |
| Provider Name | Jason B Dickerson Dpm Lc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1164925467 PECOS PAC ID: 0345507984 Enrollment ID: O20180323001277 |
| Mailing Address | Practice Location Address |
|---|---|
| Terry R Cook, DPM 25543 Road N.6 Loop, Cortez, CO 81321-8404 Ph: (970) 565-8660 | Terry R Cook, DPM 1478 East Hwy 162, Montezuma Creek, UT 84534 Ph: (435) 651-3700 |
Cook Foot And Ankle Llc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1478 East Hwy 162, Montezuma Creek, UT 84534 Phone: 435-651-3700 |