Justin M Cooper, DO is a medicare enrolled "Physical Medicine & Rehabilitation" physician in Fife, Washington. His current practice location is
502 54th Ave E, Fife, Washington. You can reach out to his office (for appointments etc.) via phone at
(253) 459-7500.
Justin M Cooper is licensed to practice in Washington (license number OP60075152) 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 1699898601.
Physician's Profile
Full Name | Justin M Cooper |
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Gender | Male |
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Speciality | Physical Medicine & Rehabilitation |
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Location | 502 54th Ave E, Fife, Washington |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1699898601
- Provider Enumeration Date: 04/06/2007
- Last Update Date: 05/04/2015
Medicare PECOS Information:
- PECOS PAC ID: 5597816843
- Enrollment ID: I20090625000516
Medical Identifiers
Medical identifiers for Justin M Cooper such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1699898601 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208100000X | Physical Medicine & Rehabilitation | 2005019083 (Missouri) | Secondary |
208100000X | Physical Medicine & Rehabilitation | OP60075152 (Washington) | 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. Justin M Cooper allows following entities to bill medicare on his behalf.
Entity Name | Multicare Health System |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1497766638 PECOS PAC ID: 7719899897 Enrollment ID: O20031105000760 |
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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. Justin M 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 |
Justin M Cooper, DO 502 54th Ave E, Fife, WA 98424-2724 Ph: (253) 459-7500 | Justin M Cooper, DO 502 54th Ave E, Fife, WA 98424-2724 Ph: (253) 459-7500 |
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