MS. ANNA M COOK PA-C
NPI 1295704062
Physician Assistant - Surgical in Mansfield, OH

NPI Status: Active since March 15, 2006

Contact Information

370 CLINE AVE
MANSFIELD, OH
ZIP 44907
Phone: (419) 756-0011
Fax: (419) 756-9279

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  • Individual
  • Female
  • Years of Experience 28
  • Physician Assistant
  • Surgical
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About ANNA COOK

This page provides the complete NPI Profile along with additional information for Anna Cook, a provider established in Mansfield, Ohio with a medical specialization in Physician Assistant, focusing in surgical and more than 28 years of experience. The healthcare provider is registered in the NPI registry with number 1295704062 assigned on March 2006. The practitioner's primary taxonomy code is 363AS0400X with license number 50001210 (OH). The provider is registered as an individual and her NPI record was last updated 19 years ago.

NPI
1295704062
Provider Name
MS. ANNA M COOK PA-C
Gender
Female
Entity Type
Individual
Location Address
370 CLINE AVE MANSFIELD, OH 44907
Location Phone
(419) 756-0011
Location Fax
(419) 756-9279
Mailing Address
370 CLINE AVE MANSFIELD, OH 44907
Mailing Phone
(419) 756-0011
Mailing Fax
(419) 756-9279
Medical School Name
OTHER
Graduation Year
1998
Is Sole Proprietor?
Yes
Enumeration Date
03-15-2006
Last Update Date
07-08-2007
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physician Assistant Surgical

Taxonomy Code
363AS0400X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
50001210
License State
OH

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - HMO
  • UHC Bronze Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision, No Referrals) - HMO
  • UHC Bronze Essential ($0 Virtual Urgent Care, No Referrals) - HMO
  • UHC Bronze Standard (No Referrals) - HMO
  • UHC Bronze Standard+ (Dental + Vision, No Referrals) - HMO
  • UHC Gold Advantage ($0 Virtual Urgent Care, $5 Tier 2 Rx, No Referrals) - HMO
  • UHC Gold Advantage+ ($0 Virtual Urgent Care, $5 Tier 2 Rx, Dental + Vision, No Referrals) - HMO
  • UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - HMO
  • UHC Gold Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) - HMO
  • UHC Gold Standard (No Referrals) - HMO
  • UHC Gold Standard+ (Dental + Vision, No Referrals) - HMO
  • UHC Silver Advantage ($0 Virtual Urgent Care, $8 Tier 2 Rx, No Referrals) - HMO
  • UHC Silver Advantage+ ($0 Virtual Urgent Care, $8 Tier 2 Rx, Dental + Vision, No Referrals) - HMO
  • UHC Silver Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - HMO
  • UHC Silver Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision, No Referrals) - HMO
  • UHC Silver Standard (No Referrals) - HMO
  • UHC Silver Standard+ (Dental + Vision, No Referrals) - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
50-00-1210OTHER (01)OHSTATE PHYS. ASSIST. REG.#
1039089OTHER (01)NCCPA ID NUMBER
S78745MEDICARE UPIN (02) 
COPA19306MEDICARE ID-TYPE UNSPECIFIED (04)OHMEDICARE PROVIDER NUMBER

Medicare Participation & PECOS Enrollment Status

Anna Cook is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Anna Cook is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 2769433929

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20050204000156

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Anna Cook is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
AVITA ONTARIO715 RICHLAND MALL
ONTARIO, OH 44906
(419) 462-4534Acute Care Hospitals
BUCYRUS COMMUNITY HOSPITAL629 NORTH SANDUSKY AVENUE
BUCYRUS, OH 44820
(419) 563-9376Critical Access Hospitals
GALION COMMUNITY HOSPITAL269 PORTLAND WAY SOUTH
GALION, OH 44833
(419) 468-4841Critical Access Hospitals

Reviews for MS. ANNA M COOK PA-C

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1295704062, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
5
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
0
Unchanged
Pos 7
4
Doubled → 8
Pos 8
0
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 9 → 18 → 9 7 → 14 → 5 4 → 8 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 1 + 8 + 5 + 1 + 4 + 0 + 8 + 0 + 1 + 2 + 24 = 58

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 58 is 60. The difference is the calculated check digit.

60 - 58 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1295704062.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Thoracic Surgery (Cardiothoracic Vascular Surgery)
370 CLINE AVE
MANSFIELD, OH 44907
Nurse Practitioner (Adult Health)
370 CLINE AVE
MANSFIELD, OH 44907
Nurse Practitioner (Adult Health)
370 CLINE AVE, #B3
MANSFIELD, OH 44907
Dentist (Orthodontics and Dentofacial Orthopedics)
370 CLINE AVE
MANSFIELD, OH 44907
Dentist (General Practice)
370 CLINE AVE
MANSFIELD, OH 44907
Plastic Surgery
370 CLINE AVE
MANSFIELD, OH 44907
Plastic Surgery
370 CLINE AVE
MANSFIELD, OH 44907
Specialist
370 CLINE AVE
MANSFIELD, OH 44907
Pediatrics
370 CLINE AVE
MANSFIELD, OH 44907
Nurse Practitioner (Family)
370 CLINE AVE
MANSFIELD, OH 44907
Dentist (General Practice)
370 CLINE AVE
MANSFIELD, OH 44907
Dentist (Prosthodontics)
370 CLINE AVE
MANSFIELD, OH 44907
Dentist (General Practice)
370 CLINE AVE
MANSFIELD, OH 44907
Clinic/Center (Medical Specialty)
370 CLINE AVE
MANSFIELD, OH 44907
Dentist (General Practice)
370 CLINE AVE
MANSFIELD, OH 44907
Dentist
370 CLINE AVE
MANSFIELD, OH 44907
Psychiatry & Neurology (Neurology)
370 CLINE AVE, STE C5
MANSFIELD, OH 44907
Physician Assistant
370 CLINE AVE
MANSFIELD, OH 44907
Case Manager/Care Coordinator
370 CLINE AVE
MANSFIELD, OH 44907
Case Manager/Care Coordinator
370 CLINE AVE
MANSFIELD, OH 44907

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1295704062, enumerated as an "individual" on March 15, 2006.

The provider is located at 370 CLINE AVE MANSFIELD, OH 44907 and the phone number is (419) 756-0011.

Physician Assistant with taxonomy code 363AS0400X and a focus in Surgical.

The provider might be accepting Accepts: UnitedHealthcare, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.

Anna Cook is affiliated with: AVITA ONTARIO, BUCYRUS COMMUNITY HOSPITAL and GALION COMMUNITY HOSPITAL.