Ms Suzanne C Cooper, NP is a medicare enrolled "Nurse Practitioner - Adult Health" physician in Portland, Oregon. Her current practice location is
3550 N Interstate Ave, Portland, Oregon. You can reach out to her office (for appointments etc.) via phone at
(503) 249-3434.
Ms Suzanne C Cooper is licensed to practice in Oregon (license number 200050043NP) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1770679458.
Physician's Profile
| Full Name | Ms Suzanne C Cooper |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Adult Health |
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| Location | 3550 N Interstate Ave, Portland, Oregon |
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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: 1770679458
- Provider Enumeration Date: 10/04/2006
- Last Update Date: 11/09/2017
Medicare PECOS Information:
- PECOS PAC ID: 7113017617
- Enrollment ID: I20071220000611
Medical Identifiers
Medical identifiers for Ms Suzanne C Cooper such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1770679458 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207QA0505X | Family Medicine - Adult Medicine | 200050043NP (Oregon) | Secondary |
| 363LA2200X | Nurse Practitioner - Adult Health | 025804AP30006101 (Washington) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 200050043 (Oregon) | Secondary |
| 363LA2200X | Nurse Practitioner - Adult Health | 200050043NP (Oregon) | 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. Ms Suzanne C Cooper allows following entities to bill medicare on her behalf.
| Entity Name | Kaiser Foundation Health Plan Of The Northwest |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1184786527
PECOS PAC ID: 5799688230
Enrollment ID: O20040130000799 |
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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. Ms Suzanne C 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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Ms Suzanne C Cooper, NP
3550 N Interstate Ave,
Portland, OR 97227-1196
Ph: (503) 249-3434 | Ms Suzanne C Cooper, NP
3550 N Interstate Ave,
Portland, OR 97227-1196
Ph: (503) 249-3434 |
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