Cooper C Schraudenbach, MD is a medicare enrolled "Family Medicine" physician in Grand Canyon, Arizona. He went to Hahnemann University College Of Medicine and graduated in 1997 and has 27 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice North Country Healthcare Inc, North Country Healthcare Inc and 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 | Family Practice |
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| Experience | 27 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. |
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Medical Education and Training:
- Cooper C Schraudenbach attended and graduated from Hahnemann University College Of Medicine in 1997
NPI Data:
- NPI Number: 1790848299
- Provider Enumeration Date: 12/18/2006
- Last Update Date: 03/22/2021
Medicare PECOS Information:
- PECOS PAC ID: 1456440064
- Enrollment ID: I20100414000608
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 |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| North Country Healthcare Inc | 8820981053 | 62 |
| North Country Healthcare Inc | 8820981053 | 62 |
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 C Schraudenbach allows following entities to bill medicare on his behalf.
| Entity Name | Kauai Community Health Alliance |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1659531622
PECOS PAC ID: 7012070774
Enrollment ID: O20090107000415 |
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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 |
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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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