Cody Edward Cooper, CRNP in Williamsport, PA - Medicare Nurse Practitioner

Cody Edward Cooper, CRNP is a medicare enrolled "Nurse Practitioner" in Williamsport, Pennsylvania. He graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Susquehanna Physician Services and his current practice location is 740 High St Ste 1003, Williamsport, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (570) 321-3160.

Cody Edward Cooper is licensed to practice in Pennsylvania (license number SP022138) 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 1649889205.

Contact Information

	Cody Edward Cooper, CRNP
	740 High St Ste 1003, Williamsport, PA 17701-3102
	(570) 321-3160
	(570) 321-3161

Map and Direction

Provider's Profile

Full Name	Cody Edward Cooper
Gender	Male
Speciality	Nurse Practitioner
Experience	4 Years
Location	740 High St Ste 1003, Williamsport, Pennsylvania
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:

Cody Edward Cooper graduated from nursing school in 2020

NPI Data:

NPI Number: 1649889205
Provider Enumeration Date: 07/29/2020
Last Update Date: 07/31/2020

Medicare PECOS Information:

PECOS PAC ID: 1850716176
Enrollment ID: I20200804001818

Medical Identifiers

Medical identifiers for Cody Edward Cooper such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1649889205	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	SP022138 (Pennsylvania)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Williamsport Regional Medical Center	Williamsport, PA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Susquehanna Physician Services	2264336460	483

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. Cody Edward Cooper allows following entities to bill medicare on his behalf.

Entity Name	Susquehanna Physician Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881622868 PECOS PAC ID: 2264336460 Enrollment ID: O20040419001335

Entity Name	Susquehanna Physician Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1861431116 PECOS PAC ID: 2264336460 Enrollment ID: O20060503000814

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. Cody Edward 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
Cody Edward Cooper, CRNP 1201 Grampian Blvd, Williamsport, PA 17701-1900 Ph: (570) 326-8723	Cody Edward Cooper, CRNP 740 High St Ste 1003, Williamsport, PA 17701-3102 Ph: (570) 321-3160

Reviews and Comments

Nurse Practitioner Nurses in Williamsport, PA

Lucas Charles Mariano, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 740 High St Ste 3002, Williamsport, PA 17701 Phone: 570-321-2820 Fax: 570-321-2821
Mrs. Mindi Nichols, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1100 Grampian Blvd, Williamsport, PA 17701 Phone: 570-320-7691 Fax: 570-320-7898
Ms. Sonya Miles, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 471 Hepburn St, Williamsport, PA 17701 Phone: 570-567-5400 Fax: 570-567-5421
Ashlee Leigh Hall, CRNP, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 700 High St, Williamsport, PA 17701 Phone: 570-321-2810 Fax: 570-321-2811
Merete Vogelsong, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 740 High St Ste 2001, Suite 2001, Williamsport, PA 17701 Phone: 570-321-2800
Michelle Marie Dangle, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 471 Hepburn St, Williamsport, PA 17701 Phone: 570-567-5400
Rebecca Rhone, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 740 High St, Suite 2001, Williamsport, PA 17701 Phone: 570-321-3165

Cody Edward Cooper, CRNP - Medicare Nurse Practitioner in Williamsport, PA