Dr Jac Alan Cooper Jr, MD is a medicare enrolled "Colon & Rectal Surgery" physician in Springfield, Illinois. He went to Indiana University School Of Medicine and graduated in 2012 and has 12 years of diverse experience with area of expertise as Colorectal Surgery (proctology). He is a member of the group practice Springfield Clinic Llp and his current practice location is
900 N 1st St, Springfield, Illinois. You can reach out to his office (for appointments etc.) via phone at
(217) 528-7541.
Dr Jac Alan Cooper Jr is licensed to practice in Illinois (license number 036153198) 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 1144583287.
Physician's Profile
| Full Name | Dr Jac Alan Cooper Jr |
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| Gender | Male |
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| Speciality | Colorectal Surgery (proctology) |
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| Experience | 12 Years |
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| Location | 900 N 1st St, Springfield, Illinois |
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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:
- Dr Jac Alan Cooper Jr attended and graduated from Indiana University School Of Medicine in 2012
NPI Data:
- NPI Number: 1144583287
- Provider Enumeration Date: 06/22/2012
- Last Update Date: 03/03/2023
Medicare PECOS Information:
- PECOS PAC ID: 0749429579
- Enrollment ID: I20200729002586
Medical Identifiers
Medical identifiers for Dr Jac Alan Cooper Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1144583287 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208600000X | Surgery | 125.061379 (Illinois) | Secondary |
| 208600000X | Surgery | 01080567A (Indiana) | Secondary |
| 208C00000X | Colon & Rectal Surgery | 01080567A (Indiana) | Secondary |
| 208C00000X | Colon & Rectal Surgery | 036153198 (Illinois) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Springfield Clinic Llp | 0547166076 | 673 |
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. Dr Jac Alan Cooper Jr allows following entities to bill medicare on his behalf.
| Entity Name | Springfield Clinic Llp |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1780638478
PECOS PAC ID: 0547166076
Enrollment ID: O20040331000826 |
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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. Dr Jac Alan Cooper Jr 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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Dr Jac Alan Cooper Jr, MD
Po Box 19248,
Springfield, IL 62794-9248
Ph: (217) 528-7541 | Dr Jac Alan Cooper Jr, MD
900 N 1st St,
Springfield, IL 62702-3749
Ph: (217) 528-7541 |
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