Jason T Cook, PSYD, HSPP in Fort Wayne, IN - Medicare Clinical Psychologist Provider

Jason T Cook, PSYD, HSPP is a medicare enrolled "Psychologist - Clinical" provider in Fort Wayne, Indiana. He graduated from medical school in 1999 and has 25 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice Cook Behavioral Health Clinic Pc and his current practice location is 7230 Engle Rd, Ste 304, Fort Wayne, Indiana. You can reach out to his office (for appointments etc.) via phone at (260) 483-2400.

Jason T Cook is licensed to practice in Indiana (license number 20041587A) 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 1043283641.

Contact Information

	Jason T Cook, PSYD, HSPP
	7230 Engle Rd, Ste 304, Fort Wayne, IN 46804-2209
	(260) 483-2400
	(260) 960-9361

Map and Direction

Healthcare Provider's Profile

Full Name	Jason T Cook
Gender	Male
Speciality	Clinical Psychologist
Experience	25 Years
Location	7230 Engle Rd, Fort Wayne, Indiana
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jason T Cook graduated from medical school in 1999

NPI Data:

NPI Number: 1043283641
Provider Enumeration Date: 02/13/2006
Last Update Date: 10/02/2019

Medicare PECOS Information:

PECOS PAC ID: 7618928821
Enrollment ID: I20050204000566

Medical Identifiers

Medical identifiers for Jason T Cook such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043283641	NPI	-	NPPES
200290630	Medicaid	IN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	20041587A (Indiana)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Cook Behavioral Health Clinic Pc	3274584487	2

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. Jason T Cook allows following entities to bill medicare on his behalf.

Entity Name	Park Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1306897004 PECOS PAC ID: 5991794794 Enrollment ID: O20041213000226

Entity Name	Cook Behavioral Health Clinic Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1265691257 PECOS PAC ID: 3274584487 Enrollment ID: O20050204000529

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. Jason T 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 Address	Practice Location Address
Jason T Cook, PSYD, HSPP 7230 Engle Rd, Ste 304, Fort Wayne, IN 46804-2209 Ph: (260) 481-2700	Jason T Cook, PSYD, HSPP 7230 Engle Rd, Ste 304, Fort Wayne, IN 46804-2209 Ph: (260) 483-2400

Reviews and Comments

Psychologist in Fort Wayne, IN

Amanda L Mayle, PSY.D., HSPP Psychologist Medicare: Medicare Enrolled Practice Location: 11141 Parkview Plaza Dr Ste 210, Fort Wayne, IN 46845 Phone: 260-266-5400 Fax: 260-266-5409
Dr. Michelle Renne Miller, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4630 W Jefferson Blvd, Ste 11a, Fort Wayne, IN 46804 Phone: 260-434-1606 Fax: 260-434-1612
Dr. Victor L Rebman, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1910 Saint Joe Center Rd, Office #63, Fort Wayne, IN 46825 Phone: 260-471-9902 Fax: 260-471-9902
Dr. Galen Arthur Yordy, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2805 Fairfield Ave, Fort Wayne, IN 46807 Phone: 260-456-4880 Fax: 260-456-3559
Dr. Kelly Stewart Hutner, PSY.D., HSPP Psychologist Medicare: Accepting Medicare Assignments Practice Location: 11143 Parkview Plaza Dr Ste 320, Fort Wayne, IN 46845 Phone: 260-266-5370 Fax: 260-266-5379
Dr. Bruce Edward Nerenberg, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 2121 Lake Ave, Fort Wayne, IN 46805 Phone: 800-360-8387 Fax: 260-460-1481

Jason T Cook, PSYD, HSPP - Medicare Psychologist in Fort Wayne, IN