Jaclyn Marie Cooperrider, MD - Medicare Family Practice in Boise, ID

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Jaclyn Marie Cooperrider, MD is a medicare enrolled "Family Medicine" physician in Boise, Idaho. She went to University Of Washington School Of Medicine and graduated in 2014 and has 10 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Idaho Sports Medicine Institute, Pa, Full Circle Health Inc and her current practice location is 325 W Idaho St, Boise, Idaho. You can reach out to her office (for appointments etc.) via phone at (208) 514-2525.

Jaclyn Marie Cooperrider is licensed to practice in Idaho (license number M-13130) 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 1518372846.

Contact Information

Jaclyn Marie Cooperrider, MD
325 W Idaho St,
Boise, ID 83702-6040
(208) 514-2525
(208) 375-2217

Map and Direction




Physician's Profile

Full NameJaclyn Marie Cooperrider
GenderFemale
SpecialityFamily Practice
Experience10 Years
Location325 W Idaho St, Boise, Idaho
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jaclyn Marie Cooperrider attended and graduated from University Of Washington School Of Medicine in 2014
  NPI Data:
  • NPI Number: 1518372846
  • Provider Enumeration Date: 06/25/2014
  • Last Update Date: 12/15/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 9436475373
  • Enrollment ID: I20190823002148

Medical Identifiers

Medical identifiers for Jaclyn Marie Cooperrider such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1518372846NPI-NPPES
1518372846MedicaidID

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine M-13130 (Idaho)Primary
207Q00000XFamily Medicine MRM-1390 (Idaho)Secondary
207QS0010XFamily Medicine - Sports Medicine M-13130 (Idaho)Secondary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Idaho Sports Medicine Institute, Pa175927876512
Full Circle Health Inc670998679792

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. Jaclyn Marie Cooperrider allows following entities to bill medicare on her behalf.
Entity NameIdaho Sports Medicine Institute, Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154356624
PECOS PAC ID: 1759278765
Enrollment ID: O20040303001050
Entity NameFull Circle Health Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1841490075
PECOS PAC ID: 6709986797
Enrollment ID: O20070924000618

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. Jaclyn Marie Cooperrider 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 AddressPractice Location Address
Jaclyn Marie Cooperrider, MD
777 N Raymond St,
Boise, ID 83704-9251

Ph: (208) 514-2500		Jaclyn Marie Cooperrider, MD
325 W Idaho St,
Boise, ID 83702-6040

Ph: (208) 514-2525

Reviews and Comments


Family Medicine Doctors in Boise, ID

Dr. Maureen A Newman, M.D.
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Practice Location: 1055 N Curtis Rd, Boise, ID 83706
Phone: 208-302-5480    
Jessica A Evert, MD
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Practice Location: 1055 N Curtis Rd, Boise, ID 83706
Phone: 208-367-7350    
Tracy Adams, DO
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Practice Location: 777 N Raymond St, Boise, ID 83704
Phone: 208-514-2500    
Sarah A Hershman, MD
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Medicare: Medicare Enrolled
Practice Location: 777 N Raymond St, Boise, ID 83704
Phone: 208-514-2500    Fax: 208-375-2217
Summer E Szumski, DO
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 777 N Raymond St, Boise, ID 83704
Phone: 208-514-2500    Fax: 208-375-2217
Dr. Thornton E Bryan Iii, MD
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Medicare: Accepting Medicare Assignments
Practice Location: 701 E Parkcenter Blvd, Boise, ID 83706
Phone: 208-381-6500    Fax: 208-381-6505
Irvin E Sackman Jr., MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 130 E Boise Ave, Boise, ID 83706
Phone: 208-345-4066    Fax: 208-345-4196

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.