Cooper Wall Beierle, FNP-C is a medicare enrolled "Nurse Practitioner - Family" physician in Salem, Virginia. Her current practice location is
100 Knotbreak Rd, Salem, Virginia. You can reach out to her office (for appointments etc.) via phone at
(540) 444-5670.
Cooper Wall Beierle is licensed to practice in Virginia (license number 0024190498) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1821835703.
Physician's Profile
Full Name | Cooper Wall Beierle |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 100 Knotbreak Rd, Salem, Virginia |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1821835703
- Provider Enumeration Date: 07/09/2024
- Last Update Date: 08/29/2024
Medicare PECOS Information:
- PECOS PAC ID: 2163961228
- Enrollment ID: I20240903003495
Medical Identifiers
Medical identifiers for Cooper Wall Beierle such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1821835703 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207LP2900X | Anesthesiology - Pain Medicine | 0024190498 (Virginia) | Secondary |
363LF0000X | Nurse Practitioner - Family | 0024190498 (Virginia) | 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 Wall Beierle allows following entities to bill medicare on her behalf.
Entity Name | Blue Ridge Pain Management Associates, Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1518118330 PECOS PAC ID: 5395806939 Enrollment ID: O20081202000073 |
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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 Wall Beierle 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 Wall Beierle, FNP-C 100 Knotbreak Rd, Salem, VA 24153-5414 Ph: (540) 205-3351 | Cooper Wall Beierle, FNP-C 100 Knotbreak Rd, Salem, VA 24153-5414 Ph: (540) 444-5670 |
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