David Cook, - Medicare Family Medicine in Rockford, IL

David Cook, is a medicare enrolled "Family Medicine" physician in Rockford, Illinois. His current practice location is 1221 E State St, Rockford, Illinois. You can reach out to his office (for appointments etc.) via phone at (815) 972-1037.

David Cook is licensed to practice in Illinois (license number 125.080373) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1043955768.

Contact Information

David Cook,
1221 E State St,
Rockford, IL 61104-2231
(815) 972-1037
Not Available



Physician's Profile

Full NameDavid Cook
GenderMale
SpecialityFamily Medicine
Location1221 E State St, Rockford, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1043955768
  • Provider Enumeration Date: 04/28/2022
  • Last Update Date: 06/27/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 0840654463
  • Enrollment ID: I20230915001313

Medical Identifiers

Medical identifiers for David Cook such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043955768NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 125.080373 (Illinois)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. David Cook allows following entities to bill medicare on his behalf.
Entity NameKsb Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073592119
PECOS PAC ID: 7911890009
Enrollment ID: O20040203000860

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Entity NameKatherine Shaw Bethea Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427043546
PECOS PAC ID: 2264480037
Enrollment ID: O20081218000029

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› Verified 8 days ago

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. David 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
David Cook,
1501 E Gardner Ln Apt 614,
Peoria Heights, IL 61616-3625

Ph: () -
David Cook,
1221 E State St,
Rockford, IL 61104-2231

Ph: (815) 972-1037

News Archive

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Except in clumsy moments, we rarely knock over the box of cereal or glass of orange juice as we reach for our morning cup of coffee. New research at The University of Western Ontario has helped unlock the mystery of how our brain allows us to avoid these undesired objects.

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› Verified 8 days ago


Family Medicine Doctors in Rockford, IL

Srivani Sridhar, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3505 N. Bell School Rd., Rockford, IL 61114
Phone: 779-696-0300    
Dr. John Wall, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1200 W State St, Rockford, IL 61102
Phone: 815-490-1600    
Dr. Steven J Lidvall, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1215 N Alpine Rd, Rockford, IL 61107
Phone: 815-391-7807    
Dr. Arpana Broor Mathur, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 698 Featherstone Rd, Suite 250, Rockford, IL 61107
Phone: 815-399-4404    Fax: 815-484-7091
Ms. Rachael Mcpeek, NP
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 1215 N Alpine Rd, Rockford, IL 61107
Phone: 815-490-1600    
Dr. Jithinraj Edakkanambeth Varayil, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1200 W State St, Rockford, IL 61102
Phone: 815-490-1600    Fax: 815-490-1881
Dr. Raju M Shanmugam, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3401 N Perryville Rd, Rockford, IL 61114
Phone: 815-971-2000    Fax: 815-971-2000

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