Dr Tom Cooper, MD is a medicare enrolled "Ophthalmology" physician in Clarksdale, Mississippi. He went to University Of Mississippi School Of Medicine and graduated in 1969 and has 55 years of diverse experience with area of expertise as Ophthalmology. He is a member of the group practice Cooper - Pang Eye Clinic Pa and his current practice location is
561 Medical Dr, Clarksdale, Mississippi. You can reach out to his office (for appointments etc.) via phone at
(662) 627-5256.
Dr Tom Cooper is licensed to practice in Mississippi (license number 05774) 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 1013013648.
Physician's Profile
| Full Name | Dr Tom Cooper |
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| Gender | Male |
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| Speciality | Ophthalmology |
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| Experience | 55 Years |
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| Location | 561 Medical Dr, Clarksdale, Mississippi |
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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 Tom Cooper attended and graduated from University Of Mississippi School Of Medicine in 1969
NPI Data:
- NPI Number: 1013013648
- Provider Enumeration Date: 09/14/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 3678684883
- Enrollment ID: I20111207000684
Medical Identifiers
Medical identifiers for Dr Tom Cooper such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1013013648 | NPI | - | NPPES |
| 00115320 | Medicaid | MS | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207W00000X | Ophthalmology | 05774 (Mississippi) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Cooper - Pang Eye Clinic Pa | 9638299787 | 2 |
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 Tom Cooper allows following entities to bill medicare on his behalf.
| Entity Name | Cooper - Pang Eye Clinic Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1801989322
PECOS PAC ID: 9638299787
Enrollment ID: O20111207000478 |
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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 Tom 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 |
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Dr Tom Cooper, MD
561 Medical Dr,
Clarksdale, MS 38614-6733
Ph: (662) 627-5256 | Dr Tom Cooper, MD
561 Medical Dr,
Clarksdale, MS 38614-6733
Ph: (662) 627-5256 |
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