Greg D Cohen, D.O.
Individual provider Active NPI Family Medicine Physician · Chariton, IA
NPI 1235119736 · NPPES record last updated Feb 8, 2012
Key facts
- NPI
- 1235119736
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 02839 (IA)
- Practice address
- 1200 N 7TH St
Chariton, IA 50049-1210 - Phone
- (641) 774-8103
- Fax
- (641) 774-8087
- NPI assigned
- Jan 19, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Lucas County Health Center
Practice addresses (Care Compare)
1200 N 7TH St
Chariton, IA 50049-1210
Phone (641) 774-3000
Hospital & facility affiliations
- Elara Caring
- Lucas County Health Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100521000460 | IA | Practitioner - Family Practice |
3274662705 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2839 | IA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Luke'S Methodist Hospital | Current | Accepting new patients | |
| Lucas County Health Center | Current |
Accepting new patients | |
| Lucas County Health Center | Family Medicine | Current |
Accepting new patients |
| Lucas County Heatlh Center | Current |
Accepting new patients | |
| Lucas County Health Center | Past | Accepting new patients |
Locations
1200 N 7th St
Chariton, IA 50049
Phone (515) 774-3000
1200 N 7th St
Ste 100
Chariton, IA 50049
Phone (641) 774-8103
Interoperability endpoints
- gcohen556453@direct.unitypoint.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 02839 | IA | Yes |
Addresses
Primary practice location
1200 N 7TH St
Chariton, IA 50049-1210
Mailing address
1200 N 7TH St
Chariton, IA 50049-1210
Phone (641) 774-8103
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3109223 | Medicaid | IA | |
| 40874 | Other | IA | BCBS |
| 1235119736 | Other | IA | WELLMARK |
| 40873 | Other | IA | BCBS |
| 1235119736 | Medicaid | IA |
Other providers in Chariton, IA
- Chariton Family Medical Center, P.C.
- Chariton Group Home Develop Corp
- Circle of Friends Home Care
- Circle of Friends Home Medical
- Circle of Life Hospice
- County of Lucas
- Paige Davis
- Megan Lee Decker
- Anastacia Faith-Marie Doering
- Juanita Louise Durham
All providers in Chariton, IA · Family Medicine Physician in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 8, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.