Dr Tom Cooper, DNP in Salt Lake City, UT - Medicare Nurse Practitioner

Dr Tom Cooper, DNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Salt Lake City, Utah. His current practice location is 3802 S 700 E, Salt Lake City, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 264-6000.

Dr Tom Cooper is licensed to practice in Utah (license number 5906659-4405) 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 1487177382.

Contact Information

	Dr Tom Cooper, DNP
	3802 S 700 E, Salt Lake City, UT 84106-1182
	(801) 264-6000
	Not Available

Map and Direction

Provider's Profile

Full Name	Dr Tom Cooper
Gender	Male
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	3802 S 700 E, Salt Lake City, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1487177382
Provider Enumeration Date: 07/23/2017
Last Update Date: 09/19/2023

Medicare PECOS Information:

PECOS PAC ID: 0749554194
Enrollment ID: I20170922002531

Medical Identifiers

Medical identifiers for Dr Tom Cooper such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1487177382	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	5906659-4405 (Utah)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	5906659-4405 (Utah)	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. Dr Tom Cooper allows following entities to bill medicare on his behalf.

Entity Name	Salt Lake Behavioral Health Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295066116 PECOS PAC ID: 6709915473 Enrollment ID: O20120315000189

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. Dr Tom 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
Dr Tom Cooper, DNP 4754 S Apple Cross Way, Murray, UT 84107-3771 Ph: (801) 918-3419	Dr Tom Cooper, DNP 3802 S 700 E, Salt Lake City, UT 84106-1182 Ph: (801) 264-6000

Reviews and Comments

Nurse Practitioner Nurses in Salt Lake City, UT

Mrs. Lisa Ann Runyon, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 100 N Medical Dr, Trauma Services, Salt Lake City, UT 84113 Phone: 801-662-2993 Fax: 801-662-2999
Madeline Ann Thayer, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 100 N Mario Capecchi Dr, Salt Lake City, UT 84113 Phone: 801-662-3600
Emma Fong, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3802 S 700 E, Salt Lake City, UT 84106 Phone: 801-264-6000
Ashlee Brynn Fenton, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1160 E 3900 S Ste G200, Salt Lake City, UT 84124 Phone: 801-268-7766
Donna M. Wahoff-stice, APRN, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 615 Arapeen Dr, 100, Salt Lake City, UT 84108 Phone: 801-581-7761
Linda M Lambert, A.P.R.N. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 100 N Medical Dr, Salt Lake City, UT 84113 Phone: 801-662-1000
Ms. Ann A. K. Kamp, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 100 N Medical Dr, Salt Lake City, UT 84113 Phone: 801-662-1000 Fax: 801-662-4166

Dr Tom Cooper, DNP - Medicare Nurse Practitioner in Salt Lake City, UT