Dr Shelby O Cooper, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Lagrange, Indiana. His current practice location is
207 N Townline Rd Ste 204, Lagrange, Indiana. You can reach out to his office (for appointments etc.) via phone at
(260) 463-9470.
Dr Shelby O Cooper is licensed to practice in Indiana (license number 01021456A) 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 1568551414.
Physician's Profile
Full Name | Dr Shelby O Cooper |
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Gender | Male |
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Speciality | |
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Experience | Years |
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Location | 207 N Townline Rd Ste 204, Lagrange, Indiana |
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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. |
Medical Education and Training:
- Dr Shelby O Cooper attended and graduated from in
NPI Data:
- NPI Number: 1568551414
- Provider Enumeration Date: 10/11/2006
- Last Update Date: 10/10/2022
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Shelby O Cooper such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1568551414 | NPI | - | NPPES |
100408010 | Medicaid | IN | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207VG0400X | Obstetrics & Gynecology - Gynecology | 01021456 (Indiana) | Secondary |
207V00000X | Obstetrics & Gynecology | 01021456A (Indiana) | Primary |
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 Shelby O 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 |
Dr Shelby O Cooper, MD 11109 Parkview Plaza Dr # 117, Fort Wayne, IN 46845-1701 Ph: () - | Dr Shelby O Cooper, MD 207 N Townline Rd Ste 204, Lagrange, IN 46761-1325 Ph: (260) 463-9470 |
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