Cooper Brubacher, LLMSW in Petoskey, MI - Medicare Counselor Provider

Cooper Brubacher, LLMSW is a medicare enrolled "Counselor - Addiction (substance Use Disorder)" provider in Petoskey, Michigan. His current practice location is 704 Emmet St, Petoskey, Michigan. You can reach out to his office (for appointments etc.) via phone at (231) 347-9880.

Cooper Brubacher is licensed to practice in Michigan (license number 6801100374) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1669976189.

Contact Information

	Cooper Brubacher, LLMSW
	704 Emmet St, Petoskey, MI 49770-2910
	(231) 347-9880
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Cooper Brubacher
Gender	Male
Speciality	Counselor - Addiction (substance Use Disorder)
Location	704 Emmet St, Petoskey, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1669976189
Provider Enumeration Date: 03/20/2018
Last Update Date: 03/20/2018

Medicare PECOS Information:

PECOS PAC ID: 0648654046
Enrollment ID: I20220902002261

Medical Identifiers

Medical identifiers for Cooper Brubacher such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1669976189	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YA0400X	Counselor - Addiction (substance Use Disorder)	6801100374 (Michigan)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Cooper Brubacher allows following entities to bill medicare on his behalf.

Entity Name	Old Town Psychological Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093989162 PECOS PAC ID: 2466600101 Enrollment ID: O20120921000057

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Cooper Brubacher is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Cooper Brubacher, LLMSW 704 Emmet St, Petoskey, MI 49770-2910 Ph: () -	Cooper Brubacher, LLMSW 704 Emmet St, Petoskey, MI 49770-2910 Ph: (231) 347-9880

Reviews and Comments

Counselor in Petoskey, MI

Matthew Mckelvey, CADC-D Counselor Medicare: Not Enrolled in Medicare Practice Location: 704 Emmet St, Petoskey, MI 49770 Phone: 231-347-5511
Roy Lee Angel Jr., Counselor Medicare: Not Enrolled in Medicare Practice Location: 704 Emmet St, Petoskey, MI 49770 Phone: 231-347-5511 Fax: 231-347-5422
Mrs. Missy Sylar Merchant, LPC, CAADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1260 Ajijaak Ave, Petoskey, MI 49770 Phone: 231-242-1640
Marissa Sweeney, CADC-DP Counselor Medicare: Not Enrolled in Medicare Practice Location: 2236 E Mitchell Rd # 5, Petoskey, MI 49770 Phone: 231-622-3494
Maureen Todd, Counselor Medicare: Not Enrolled in Medicare Practice Location: 703 Emmet St, Petoskey, MI 49770 Phone: 231-347-5511
Mrs. Adrienne Josephine Shiels, LLMSW Counselor Medicare: Medicare Enrolled Practice Location: 2202 Mitchell Park Dr Ste 2b, Petoskey, MI 49770 Phone: 231-487-2215
Ms. Julie Kathleen Clark, M.S., LPC, CRC, MITS Counselor Medicare: Medicare Enrolled Practice Location: 220 Bay St, Petoskey, MI 49770 Phone: 231-622-5061

Cooper Brubacher, LLMSW - Medicare Counselor in Petoskey, MI