Dr Benjamin D Cooper, OD is a medicare enrolled "Optometrist" provider in San Carlos, Arizona. He graduated from medical school in 1996 and has 28 years of diverse experience with area of expertise as Optometry. He is a member of the group practice San Carlos Apache Healthcare Corporation and his current practice location is
223 Seneca Ln, San Carlos, Arizona. You can reach out to his office (for appointments etc.) via phone at
(928) 475-7244.
Dr Benjamin D Cooper is licensed to practice in Arizona (license number 1795) 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 1609924273.
Healthcare Provider's Profile
| Full Name | Dr Benjamin D Cooper |
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| Gender | Male |
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| Speciality | Optometry |
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| Experience | 28 Years |
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| Location | 223 Seneca Ln, San Carlos, Arizona |
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| Accepts Medicare Assignments | Yes. He 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:
- Dr Benjamin D Cooper graduated from medical school in 1996
NPI Data:
- NPI Number: 1609924273
- Provider Enumeration Date: 01/08/2007
- Last Update Date: 11/12/2013
Medicare PECOS Information:
- PECOS PAC ID: 4981702081
- Enrollment ID: I20070613000739
Medical Identifiers
Medical identifiers for Dr Benjamin D Cooper such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1609924273 | NPI | - | NPPES |
| 185037 | Medicaid | AZ | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | 1795 (Arizona) | Primary |
| 152W00000X | Optometrist | 2003002705 (Missouri) | Secondary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| San Carlos Apache Healthcare Corporation | 0648580597 | 116 |
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 Benjamin D Cooper allows following entities to bill medicare on his behalf.
| Provider Name | San Carlos Apache Healthcare Corporation |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1265813075
PECOS PAC ID: 0648580597
Enrollment ID: O20151105002091 |
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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. Dr Benjamin D 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 Benjamin D Cooper, OD
Po Box 208,
San Carlos, AZ 85550-0208
Ph: (928) 475-7244 | Dr Benjamin D Cooper, OD
223 Seneca Ln,
San Carlos, AZ 85550
Ph: (928) 475-7244 |
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