Ryan L Cooley, MD is a medicare enrolled "Internal Medicine - Clinical Cardiac Electrophysiology" physician in St. George, Utah. He went to University Of Wisconsin School Of Medicine and graduated in 1992 and has 32 years of diverse experience with area of expertise as Cardiac Electrophysiology. He is a member of the group practice Intermountain Healthcare Services, Inc and his current practice location is
2825 E Mall Drive, St. George, Utah. You can reach out to his office (for appointments etc.) via phone at
(435) 251-2900.
Ryan L Cooley is licensed to practice in Utah (license number 11831272-1205) 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 1255308813.
Physician's Profile
| Full Name | Ryan L Cooley |
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| Gender | Male |
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| Speciality | Cardiac Electrophysiology |
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| Experience | 32 Years |
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| Location | 2825 E Mall Drive, St. George, Utah |
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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:
- Ryan L Cooley attended and graduated from University Of Wisconsin School Of Medicine in 1992
NPI Data:
- NPI Number: 1255308813
- Provider Enumeration Date: 03/02/2006
- Last Update Date: 09/14/2021
Medicare PECOS Information:
- PECOS PAC ID: 8820032527
- Enrollment ID: I20200914002304
Medical Identifiers
Medical identifiers for Ryan L Cooley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1255308813 | NPI | - | NPPES |
| 32543000 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207RC0000X | Internal Medicine - Cardiovascular Disease | 39616 (Wisconsin) | Secondary |
| 207RC0001X | Internal Medicine - Clinical Cardiac Electrophysiology | 39616-020 (Wisconsin) | Secondary |
| 207RC0001X | Internal Medicine - Clinical Cardiac Electrophysiology | 11831272-1205 (Utah) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Intermountain Healthcare Services, Inc | 1850209420 | 3228 |
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. Ryan L Cooley allows following entities to bill medicare on his behalf.
| Entity Name | Ihc Health Services Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1629260880
PECOS PAC ID: 1850209420
Enrollment ID: O20031105000079 |
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| Entity Name | Central Utah Clinic Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1093764805
PECOS PAC ID: 7517868508
Enrollment ID: O20040113000805 |
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| Entity Name | Ihc Health Services Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1942325154
PECOS PAC ID: 1850209420
Enrollment ID: O20080610000303 |
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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. Ryan L Cooley 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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Ryan L Cooley, MD
1055 N 500 W,
Provo, UT 84604-3305
Ph: (801) 354-8225 | Ryan L Cooley, MD
2825 E Mall Drive,
St. George, UT 84790
Ph: (435) 251-2900 |
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