Cooper C Schraudenbach, MD is a medicare enrolled "Family Medicine" physician in Grand Canyon, Arizona. His current practice location is
1 Clinic Rd, Grand Canyon, Arizona. You can reach out to his office (for appointments etc.) via phone at
(928) 638-2551.
Cooper C Schraudenbach is licensed to practice in Arizona (license number 45923) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1790848299.
Physician's Profile
Full Name | Cooper C Schraudenbach |
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Gender | Male |
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Speciality | |
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Experience | Years |
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Location | 1 Clinic Rd, Grand Canyon, Arizona |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Cooper C Schraudenbach attended and graduated from in
NPI Data:
- NPI Number: 1790848299
- Provider Enumeration Date: 12/18/2006
- Last Update Date: 03/22/2021
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Cooper C Schraudenbach such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1790848299 | NPI | - | NPPES |
A67909 | Other | CA | LICENSE |
0348 | Other | MP | LICENSE |
12456 | Other | HI | LIC |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 0348 (Northern Mariana Islands) | Secondary |
207Q00000X | Family Medicine | A067909 (California) | Secondary |
207Q00000X | Family Medicine | 45923 (Arizona) | Primary |
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 C Schraudenbach 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 C Schraudenbach, MD Po Box 3630, Flagstaff, AZ 86003-3630 Ph: (928) 522-9400 | Cooper C Schraudenbach, MD 1 Clinic Rd, Grand Canyon, AZ 86023-0290 Ph: (928) 638-2551 |
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