Roseanne Mary Cook (NPI# 1568541720, PAC ID# 9739245655) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
| Nation Provider ID (NPI) | 1568541720 |
| PAC ID by PECOS | 9739245655 |
| Professional Enrollment ID | I20090302000306 |
| Full Name | Roseanne Mary Cook |
| Organization Legal Name | RURAL HEALTH MEDICAL PROGRAM, INC. |
| Address |
867 County Rd Pine Apple AL 36768-3525 |
| Phone Number | 2517462197 |
| Gender | F |
| Medical School | UNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE |
| Graduation Year | 1983 |
| Primary Specialty | FAMILY PRACTICE |
| Group Practice PAC ID | 0143219196 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 010102 | J PAUL JONES HOSPITAL |
| 010118 | VAUGHAN REGIONAL MEDICAL CENTER PARKWAY CAMPUS |
| 010150 | L V STABLER MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 867 County Rd, Pine Apple, AL 36768-3525 | 2517462197 | RURAL HEALTH MEDICAL PROGRAM, INC. |
| 867 County Rd, Suite 59, Pine Apple, AL 36768-3525 | 2517462197 | RURAL HEALTH MEDICAL PROGRAM, INC. |
| Organization Legal Name | RURAL HEALTH MEDICAL PROGRAM, INC. |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Edward Childs | Internal Medicine | Rural Health Medical Program, Inc. | 2210 Hwy 221, Camden, AL 36726-4233 |
| Thomas W Broughton | Emergency Medicine | Rural Health Medical Program, Inc. | 330 Old Hamburg Rd, Uniontown, AL 36786-2614 |
| Glenn S Mcphillips | Podiatry | Rural Health Medical Program, Inc. | 228 Selma Ave, Selma, AL 36701-5825 |
| Jamil Akhtar | Internal Medicine | Rural Health Medical Program, Inc. | 228 Selma Ave, Selma, AL 36701-5825 |
| Edgar W Brown Jr. | Family Medicine | Rural Health Medical Program, Inc. | 228 Selma Ave, Selma, AL 36701-5825 |
| Jame Boyce | Anesthesiology | Rural Health Medical Program, Inc. | 330 Old Hamburg Rd, Uniontown, AL 36786-2614 |
| Street Address |
867 COUNTY RD |
| City | PINE APPLE |
| State | AL |
| Zip | 36768-3525 |
| City | PINE APPLE |
| Zip Code | 36768 |
| Specialty | FAMILY PRACTICE |
| City + Specialty | PINE APPLE + FAMILY PRACTICE |
Please comment or provide details below to improve the information on Roseanne Mary Cook.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.