Alexander Cooper, is a medicare enrolled "Nurse Practitioner - Family" in Buckley, Michigan. He graduated from nursing school in 2016 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Northern Lakes Community Mental Health Authority and his current practice location is
11293 N M 37 Ste A, Buckley, Michigan. You can reach out to his office (for appointments etc.) via phone at
(231) 269-4185.
Alexander Cooper is licensed to practice in Michigan (license number 4704278548) 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 1912452731.
Provider's Profile
Full Name | Alexander Cooper |
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Gender | Male |
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Speciality | Nurse Practitioner |
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Experience | 9 Years |
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Location | 11293 N M 37 Ste A, Buckley, Michigan |
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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. |
Medical Education and Training:
- Alexander Cooper graduated from nursing school in 2016
NPI Data:
- NPI Number: 1912452731
- Provider Enumeration Date: 08/22/2016
- Last Update Date: 08/22/2016
Medicare PECOS Information:
- PECOS PAC ID: 0749578698
- Enrollment ID: I20161010002265
Medical Identifiers
Medical identifiers for Alexander Cooper such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1912452731 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | 4704278548 (Michigan) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Northern Lakes Community Mental Health Authority | 8022921154 | 18 |
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. Alexander Cooper allows following entities to bill medicare on his behalf.
Entity Name | Northern Pines Health Center Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1578547071 PECOS PAC ID: 0446161251 Enrollment ID: O20041012000381 |
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Entity Name | Northern Lakes Community Mental Health Authority |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1417481136 PECOS PAC ID: 8022921154 Enrollment ID: O20170602002042 |
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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. Alexander 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 |
Alexander Cooper, 11293 N M 37 Ste A, Buckley, MI 49620-9593 Ph: () - | Alexander Cooper, 11293 N M 37 Ste A, Buckley, MI 49620-9593 Ph: (231) 269-4185 |
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