Jaclyn J Cooper, APN in Conway, AR - Medicare Nurse Practitioner

Jaclyn J Cooper, APN is a medicare enrolled "Nurse Practitioner - Family" in Conway, Arkansas. She graduated from nursing school in 2009 and has 15 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Pain Treatment Centers Of America Pllc and her current practice location is 2425 Dave Ward Dr, Suite 601, Conway, Arkansas. You can reach out to her office (for appointments etc.) via phone at (501) 773-6993.

Jaclyn J Cooper is licensed to practice in Arkansas (license number A03480) 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 1851697197.

Contact Information

	Jaclyn J Cooper, APN
	2425 Dave Ward Dr, Suite 601, Conway, AR 72034-8686
	(501) 773-6993
	Not Available

Map and Direction

Provider's Profile

Full Name	Jaclyn J Cooper
Gender	Female
Speciality	Nurse Practitioner
Experience	15 Years
Location	2425 Dave Ward Dr, Conway, Arkansas
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jaclyn J Cooper graduated from nursing school in 2009

NPI Data:

NPI Number: 1851697197
Provider Enumeration Date: 02/03/2011
Last Update Date: 04/05/2022

Medicare PECOS Information:

PECOS PAC ID: 3274791173
Enrollment ID: I20120223000523

Medical Identifiers

Medical identifiers for Jaclyn J Cooper such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1851697197	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	A03480 (Arkansas)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Johnson Regional Medical Center	Clarksville, AR	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Pain Treatment Centers Of America Pllc	2769608819	53

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. Jaclyn J Cooper allows following entities to bill medicare on her behalf.

Entity Name	Pain Treatment Centers Of America Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1841619731 PECOS PAC ID: 2769608819 Enrollment ID: O20140725000128

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. Jaclyn J 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
Jaclyn J Cooper, APN 108 N Shackleford Rd, Little Rock, AR 72211-2840 Ph: (501) 712-2571	Jaclyn J Cooper, APN 2425 Dave Ward Dr, Suite 601, Conway, AR 72034-8686 Ph: (501) 773-6993

Reviews and Comments

Nurse Practitioner Nurses in Conway, AR

Marina Gray, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 495 Hogan Ln Ste 2, Conway, AR 72034 Phone: 501-358-6695 Fax: 501-358-6860
Mckenzie Lauren Cotton, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1065 Skyline Dr, Conway, AR 72032 Phone: 501-499-6222
Cynthia Lou Grubbs, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 495 Hogan Ln, Conway, AR 72034 Phone: 501-327-1150 Fax: 501-327-3427
Mrs. Leah Maranda Martin, ANP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1014 Harkrider St, Suite B, Conway, AR 72032 Phone: 501-327-7100 Fax: 501-279-9011
Keisha A. Fox, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 350 Salem Rd Ste 1, Conway, AR 72034 Phone: 479-518-4977 Fax: 479-203-3030
Mrs. Shakenia A Tate, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 150 E Siebenmorgen Rd, Conway, AR 72032 Phone: 501-329-6851
David Adam Steinfeld, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 855 S German Ln Ste 1, Conway, AR 72034 Phone: 501-358-6606 Fax: 501-325-5554

Jaclyn J Cooper, APN - Medicare Nurse Practitioner in Conway, AR