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MR. CONNIE DALE COOK II PAC
NPI 1164426128
Physician Assistant - Medical in Man, WV

Active since June 08, 2005PECOS Enrolled
600 E MCDONALD AVE, MAN, WV 25635(304) 583-6541(304) 583-6018 Get Directions Write a Review

NPPES record last updated: February 11, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Connie Dale Cook Ii Pac NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. CONNIE DALE COOK II PAC (NPI 1164426128) is an individual medical provider in Man, West Virginia, licensed in West Virginia (626) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164426128
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMR. CONNIE DALE COOK IICredential: PAC
Location Address600 E MCDONALD AVEMan, WV 25635-1097
Mailing Address1650 Main StreetPineville, WV 24874-1650 · (304) 732-6735
Phone(304) 583-6541
Fax(304) 583-6018
Sole ProprietorNo
Enumeration DateJune 8, 2005
Last NPPES UpdateFebruary 11, 2010
✔ NPI 1164426128 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in WV · 626
600 E MCDONALD AVE, Man, WV 25635
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Other Identifiers 3

Medicare UPINS98265WV
Medicare ID-Type UnspecifiedC02025091WV
Medicaid3810000560WV

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Connie Dale Cook Ii Pac is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Referred Medical Equipment & Supplies CMS DME claims 8

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
3 suppliers33 claims86 services$5.04 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
3 suppliers23 claims34 services$0.83 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
5 suppliers69 claims69 services$21.03 avg. paid by Medicare
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
2 suppliers17 claims17 services$913.16 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier12 claims12 services$6.51 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
8 suppliers169 claims169 services$113.20 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

COMMUNITY HEALTH FOUNDATION
Dentist
600 E MCDONALD AVE
MAN, WV 25635
Logan County (304) 583-2400
HALEY CRUM FNP-BC
Nurse Practitioner (Family)
600 E MCDONALD AVE
MAN, WV 25635
Logan County (304) 583-8585
MS. ALICE CHILDERS
Radiologic Technologist
600 E MCDONALD AVE
MAN, WV 25635
Logan County (304) 583-6541
MS. MICHELLE L. TOLER
Radiologic Technologist
600 E MCDONALD AVE
MAN, WV 25635
Logan County (304) 583-6541
MRS. REGINA A. BIAS PNP-BC
Clinical Nurse Specialist (Pediatrics)
600 E MCDONALD AVE
MAN, WV 25635
Logan County (304) 583-6541
LINCOLN COUNTY PRIMARY CARE CENTER INC
Clinic/Center (Federally Qualified Health Center (FQHC))
600 E MCDONALD AVE
MAN, WV 25635
Logan County (304) 583-8585
ZACKERY ERIC ASBURY MD
Family Medicine
600 E MCDONALD AVE
MAN, WV 25635
Logan County (304) 583-8585
LINCOLN COUNTY PRIMARY CARE CENTER, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
600 E MCDONALD AVE
MAN, WV 25635
Logan County (304) 583-8585

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Connie Cook's NPI number?

The NPI number for Connie Cook is 1164426128. It was assigned to this individual provider in the NPPES registry on June 8, 2005.

Where is Connie Cook located?

Connie Cook practices at 600 E Mcdonald Ave, Man, WV 25635. The listed phone number is (304) 583-6541.

What is Connie Cook's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Connie Cook enrolled in Medicare?

Yes. Connie Cook is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Connie Cook was last updated on February 11, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.