Emily Cooper, APRN is a medicare enrolled "Nurse Practitioner" in Riverton, Illinois. She graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Nephrology Associates, Pc, Nephrology Associates, Pc and her current practice location is
43 Devine Dr, Riverton, Illinois. You can reach out to her office (for appointments etc.) via phone at
(217) 473-8020.
Emily Cooper is licensed to practice in Illinois (license number 209.020112) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1811538580.
Provider's Profile
| Full Name | Emily Cooper |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 5 Years |
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| Location | 43 Devine Dr, Riverton, Illinois |
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| Accepts Medicare Assignments | Yes. She 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:
- Emily Cooper graduated from nursing school in 2019
NPI Data:
- NPI Number: 1811538580
- Provider Enumeration Date: 10/03/2019
- Last Update Date: 10/08/2020
Medicare PECOS Information:
- PECOS PAC ID: 7416367230
- Enrollment ID: I20220818001838
Medical Identifiers
Medical identifiers for Emily Cooper such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1811538580 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363L00000X | Nurse Practitioner | 209.020112 (Illinois) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Nephrology Associates, Pc | 0840282000 | 54 |
| Nephrology Associates, Pc | 0840282000 | 54 |
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. Emily Cooper allows following entities to bill medicare on her behalf.
| Entity Name | Nephrology Associates, Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1700878360
PECOS PAC ID: 0840282000
Enrollment ID: O20040330001670 |
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| Entity Name | Evergreen Nephrology Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1982305082
PECOS PAC ID: 1850758491
Enrollment ID: O20230613002402 |
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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. Emily 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 |
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Emily Cooper, APRN
Po Box 19248,
Springfield, IL 62794-9248
Ph: (217) 528-7541 | Emily Cooper, APRN
43 Devine Dr,
Riverton, IL 62561-9627
Ph: (217) 473-8020 |
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