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Trevor Eugene Cook

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

204 E 19th St, Panama City, FL 32405-4707

PECOS Enrollment

This provider is enrolled in PECOS as TREVOR COOK.

Based on the most recent information from CMS, provider Trevor Eugene Cook is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1134643836
Provider Type
Individual
Full Name
Cook, Trevor Eugene
Credential
ARNP

Gender
Male
Sole Proprietor
No
Enumeration Date
8/3/2017
Last Updated
8/5/2021

Contact Information

Practice Location

204 E 19th St, Panama City, FL 32405-4707

(850) 763-5409

Unlisted Fax

Mailing Location

6103 Edith Stephens Dr, Panama City, FL 32404-1933

(850) 628-0635

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 9384348 Florida

Trevor Eugene Cook

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Mcloughlin, Lisa Patrice

White, Brittney Marie

Rising, Andrew Christopher

Williamson, Thomas Carl

Albert-Smith, Cassidi Leanne

Leb, Ashley

Lindsey Smith, Vanquiece Lashunn

Ferris, Bruce Franklin

Garcia, Cassidy Anne

Mohamed, Sara Ehab