Charles Derick Cooper, NP - Medicare Nurse Practitioner in Gun Barrel City, TX

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Charles Derick Cooper, NP is a medicare enrolled "Nurse Practitioner" in Gun Barrel City, Texas. His current practice location is 126 W Main St, Gun Barrel City, Texas. You can reach out to his office (for appointments etc.) via phone at (903) 887-1092.

Charles Derick Cooper is licensed to practice in Texas (license number 1112062) 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 1124728779.

Contact Information

Charles Derick Cooper, NP
126 W Main St,
Gun Barrel City, TX 75156-5403
(903) 887-1092
Not Available

Map and Direction




Provider's Profile

Full NameCharles Derick Cooper
GenderMale
SpecialityNurse Practitioner
Location126 W Main St, Gun Barrel City, Texas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1124728779
  • Provider Enumeration Date: 03/02/2023
  • Last Update Date: 12/20/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 1355702093
  • Enrollment ID: I20230728000103

Medical Identifiers

Medical identifiers for Charles Derick Cooper such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124728779NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 1112062 (Texas)Secondary
363L00000XNurse Practitioner 1112062 (Texas)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. Charles Derick Cooper allows following entities to bill medicare on his behalf.
Entity NameAcs Primary Care Physicians Southwest Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538101019
PECOS PAC ID: 1850204363
Enrollment ID: O20041206000027
Entity NameCentury Integrated Partners, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447615711
PECOS PAC ID: 6406151703
Enrollment ID: O20160224002152
Entity NameDcs Medical Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285082768
PECOS PAC ID: 0042507600
Enrollment ID: O20160926000390
Entity NameTri-county Family Medicine Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780201053
PECOS PAC ID: 1850715558
Enrollment ID: O20200727003347

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. Charles Derick 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 AddressPractice Location Address
Charles Derick Cooper, NP
4224 Vz County Road 2112,
Wills Point, TX 75169-7786

Ph: (903) 594-8309		Charles Derick Cooper, NP
126 W Main St,
Gun Barrel City, TX 75156-5403

Ph: (903) 887-1092

Reviews and Comments


Nurse Practitioner Nurses in Gun Barrel City, TX

Lauren Kay Hughes,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1837 W Main St, Gun Barrel City, TX 75156
Phone: 903-910-2294    Fax: 949-577-4350
Savannah Christian Atkins, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 100 Municipal Dr Ste 300, Gun Barrel City, TX 75156
Phone: 903-713-1574    
Mr. John Edward Bowman, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 100 Municipal Dr, Gun Barrel City, TX 75156
Phone: 903-713-1500    
Shannon Middleton, APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 100 Municipal Dr Ste 300, Gun Barrel City, TX 75156
Phone: 903-713-1574    
Patricia Anne Ingram, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 2418 W. Main St, Gun Barrel City, TX 75156
Phone: 903-713-2000    Fax: 903-713-2004
Mrs. Debra Jean Rossell, RN MSN CFNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 801 W Main St, Gun Barrel City, TX 75156
Phone: 903-887-6252    Fax: 903-887-3668

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.