SUSAN E. COCKE MD
NPI 1861540775
Allergy & Immunology - Allergy in Brea, CA
- Individual
- Female
- Allergy & Immunology
- Allergy
- PECOS Enrolled
- Opted-Out Medicare
About SUSAN COCKE
This page provides the complete NPI Profile along with additional information for Susan Cocke, a provider established in Brea, California with a medical specialization in Allergy & Immunology, focusing in allergy . The healthcare provider is registered in the NPI registry with number 1861540775 assigned on January 2007. The practitioner's primary taxonomy code is 207KA0200X with license number A48996 (CA). The provider is registered as an individual and her NPI record was last updated 6 years ago.
- NPI
- 1861540775 Verify this NPI
- Provider Name
- SUSAN E. COCKE MD
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 955 W IMPERIAL HWY STE 110 BREA, CA 92821
- Location Phone
- (714) 579-6826
- Location Fax
- (714) 579-6890
- Mailing Address
- 955 W IMPERIAL HWY STE 110 BREA, CA 92821
- Mailing Phone
- (714) 579-6826
- Mailing Fax
- (714) 579-6890
- Is Sole Proprietor?
- No
- Enumeration Date
- 01-08-2007
- Last Update Date
- 10-19-2020
- Code Navigator
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Susan Cocke opted out of Medicare effective on 10-20-2020 until 10-20-2026. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare but is permitted to order and refer services to other healthcare providers.
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
Allergy & Immunology Allergy
- Taxonomy Code
- 207KA0200X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- A48996
- License State
- CA
- Taxonomy Description
- A physician who specializes in the diagnosis, treatment, and management of allergies. Source: National Uniform Claim Committee
Medicare Participation & PECOS Enrollment Status
Susan Cocke 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
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 10-20-2020
Opt-Out End Date: 10-20-2026
Eligible to Order and Refer? Yes
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
Provider Referred Orders for Durable Medical Equipment, Devices & Supplies
The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.
Durable Medical Equipment
DME-Other DME (DE017N)
Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) (HCPCS:A4221)
1 DME suppliers used 12 Medicare Claims 24 Services Paid
DME-Other DME (DE000N)
Supplies for external non-insulin drug infusion pump, syringe type cartridge, sterile, each (HCPCS:K0552)
1 DME suppliers used 12 Medicare Claims 49 Services Paid
Unknown
Treatment-Injections and Infusions (nononcologic) (RI008N)
Injection, immune globulin (cuvitru), 100 mg (HCPCS:J1555)
1 DME suppliers used 12 Medicare Claims 3840 Services Paid
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Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1861540775, enumerated as an "individual" on January 08, 2007.
The provider is located at 955 W IMPERIAL HWY STE 110 BREA, CA 92821 and the phone number is (714) 579-6826.
Allergy & Immunology with taxonomy code 207KA0200X and a focus in Allergy.
