Crystal Cooper, MD in Saint Clair Shores, MI

Crystal Cooper, MD is a medicare enrolled "Family Medicine" physician in Saint Clair Shores, Michigan. She graduated from medical school in 2016 and has 8 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Henry Ford Medical Group and her current practice location is 24911 Little Mack Ave Ste C, Saint Clair Shores, Michigan. You can reach out to her office (for appointments etc.) via phone at (586) 777-2050.

Crystal Cooper is licensed to practice in Michigan (license number EMC0001216) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1689103798.

Contact Information

	Crystal Cooper, MD
	24911 Little Mack Ave Ste C, Saint Clair Shores, MI 48080-3200
	(586) 777-2050
	(586) 777-2189

Map and Direction

Physician's Profile

Full Name	Crystal Cooper
Gender	Female
Speciality	Family Practice
Experience	8 Years
Location	24911 Little Mack Ave Ste C, Saint Clair Shores, Michigan
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Crystal Cooper graduated from medical school in 2016

NPI Data:

NPI Number: 1689103798
Provider Enumeration Date: 06/12/2017
Last Update Date: 01/10/2022

Medicare PECOS Information:

PECOS PAC ID: 2264700947
Enrollment ID: I20220124001083

Medical Identifiers

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

Identifier	Type	State	Issuer
1689103798	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	036153220 (Illinois)	Secondary
207Q00000X	Family Medicine	4301112029 (Michigan)	Secondary
207Q00000X	Family Medicine	EMC0001216 (Michigan)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Henry Ford Hospital	Detroit, MI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Henry Ford Medical Group	0547178311	2124

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. Crystal Cooper allows following entities to bill medicare on her behalf.

Entity Name	Henry Ford Health System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134144801 PECOS PAC ID: 0547178311 Enrollment ID: O20031105000139

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. Crystal Cooper 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
Crystal Cooper, MD 24911 Little Mack Ave Ste C, Saint Clair Shores, MI 48080-3200 Ph: (586) 777-2050	Crystal Cooper, MD 24911 Little Mack Ave Ste C, Saint Clair Shores, MI 48080-3200 Ph: (586) 777-2050

Reviews and Comments

Family Medicine Doctors in Saint Clair Shores, MI

Dr. Nikola Cengelova Conrad, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 21400 E 11 Mile Rd, Saint Clair Shores, MI 48081 Phone: 586-498-4400 Fax: 586-498-4440
Dr. Mark Edward Holowinski, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 24100 Little Mack Ave, Saint Clair Shores, MI 48080 Phone: 586-443-4063 Fax: 586-443-4064
Dr. Emianka Sotiri, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 24911 Little Mack Ave Ste C, Saint Clair Shores, MI 48080 Phone: 586-777-2050 Fax: 586-777-2189
Tazkia Sadia Al-bari, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 24911 Little Mack Ave Ste C, Saint Clair Shores, MI 48080 Phone: 586-777-2050 Fax: 586-777-2189
Shoshan P Zolo, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 25631 Little Mack Ave Ste 103, Saint Clair Shores, MI 48081 Phone: 586-443-2333 Fax: 586-443-2332
Mark B Alrais, M.D Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 21600 Harper Ave Ste 100, Saint Clair Shores, MI 48080 Phone: 586-800-1001 Fax: 586-800-1002
Barbara Clare Tess, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 20225 E 9 Mile Rd, Suite A, Saint Clair Shores, MI 48080 Phone: 586-779-8700 Fax: 586-498-1425

Crystal Cooper, MD - Medicare Family Practice in Saint Clair Shores, MI