Dr Justin Lee Cope, APRN is a medicare enrolled "Family Medicine" physician in Anderson, Missouri. His current practice location is
104 W Main St, Anderson, Missouri. You can reach out to his office (for appointments etc.) via phone at
(417) 845-6984.
Dr Justin Lee Cope is licensed to practice in Missouri (license number 2024023340) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1942930524.
Physician's Profile
| Full Name | Dr Justin Lee Cope |
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| Gender | Male |
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| Speciality | Family Medicine |
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| Location | 104 W Main St, Anderson, Missouri |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1942930524
- Provider Enumeration Date: 06/15/2022
- Last Update Date: 06/27/2024
Medicare PECOS Information:
- PECOS PAC ID: 1052856283
- Enrollment ID: I20240712000353
Medical Identifiers
Medical identifiers for Dr Justin Lee Cope such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1942930524 | NPI | - | NPPES |
| 2024023340 | Other | MO | APRN NURSING LICENSE |
| 2016026086 | Other | MO | NURSING LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 2024023340 (Missouri) | 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. Dr Justin Lee Cope allows following entities to bill medicare on his behalf.
| Entity Name | Sgoh Acquisition Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1114924768
PECOS PAC ID: 5092616276
Enrollment ID: O20040205000647 |
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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 Justin Lee Cope 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 |
|---|
Dr Justin Lee Cope, APRN
104 W Main St,
Anderson, MO 64831
Ph: (417) 845-6984 | Dr Justin Lee Cope, APRN
104 W Main St,
Anderson, MO 64831
Ph: (417) 845-6984 |
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