Ms Candice Mignonne Cook, MED - Medicare Speech-Language Pathologist in Bolivar, TN

Ms Candice Mignonne Cook, MED is a medicare enrolled "Speech-language Pathologist" provider in Bolivar, Tennessee. Her current practice location is 602 Tennessee St Ste C, Bolivar, Tennessee. You can reach out to her office (for appointments etc.) via phone at (888) 507-1113.

Ms Candice Mignonne Cook is licensed to practice in Tennessee (license number 0000003346) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1265617492.

Contact Information

Ms Candice Mignonne Cook, MED
602 Tennessee St Ste C,
Bolivar, TN 38008-2434
(888) 507-1113
Not Available



Healthcare Provider's Profile

Full NameMs Candice Mignonne Cook
GenderFemale
SpecialitySpeech-language Pathologist
Location602 Tennessee St Ste C, Bolivar, Tennessee
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1265617492
  • Provider Enumeration Date: 01/07/2008
  • Last Update Date: 12/04/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 4880993690
  • Enrollment ID: I20160429000531

Medical Identifiers

Medical identifiers for Ms Candice Mignonne Cook such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1265617492NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
235Z00000XSpeech-language Pathologist 0000003346 (Tennessee)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. Ms Candice Mignonne Cook allows following entities to bill medicare on her behalf.
Provider NameAll Ways Therapies Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1235590506
PECOS PAC ID: 5092014803
Enrollment ID: O20160429000320

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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. Ms Candice Mignonne 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
Ms Candice Mignonne Cook, MED
602 Tennessee St Ste C,
Bolivar, TN 38008-2434

Ph: (888) 507-1113
Ms Candice Mignonne Cook, MED
602 Tennessee St Ste C,
Bolivar, TN 38008-2434

Ph: (888) 507-1113

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Speech-Language Pathologist in Bolivar, TN

Mrs. Angela Farr, SLP
Speech-Language Pathologist
Medicare: Medicare Enrolled
Practice Location: 700 Nuckolls Rd, Bolivar, TN 38008
Phone: 901-658-4707    
Mackenzie Culver German,
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 1340 Nuckolls Rd, Bolivar, TN 38008
Phone: 731-571-9093    
Mrs. Deanna Lunsford, CCC-SLP
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 700 Nuckolls Rd, Bolivar, TN 38008
Phone: 731-658-4707    
Rachel Leach,
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 700 Nuckolls Rd, Bolivar, TN 38008
Phone: 731-658-4707    
Tanya S Willis,
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 10815 Old Highway 64, Bolivar, TN 38008
Phone: 731-658-2510    

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