Reese Jerel Cooper, DO is a
Military Health Care Provider based in O Fallon, Illinois. Reese Jerel Cooper is licensed to practice in * (Not Available) (license number ) and his current practice location is
3 Saint Elizabeth Blvd Ste 4000, O Fallon, Illinois. He can be reached at his office (for appointments etc.) via phone at
(618) 256-9355.
NPI number for Reese Jerel Cooper is 1831691948 and his current mailing address is 3 Saint Elizabeth Blvd Ste 4000, O Fallon, Illinois. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1831691948.
Healthcare Provider's Profile
| Full Name | Reese Jerel Cooper |
|---|
| Gender | Male |
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| Speciality | Military Health Care Provider |
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| Location | 3 Saint Elizabeth Blvd Ste 4000, O Fallon, Illinois |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1831691948
- Provider Enumeration Date: 03/05/2018
- Last Update Date: 08/03/2023
Medical Identifiers
Medical identifiers for Reese Jerel Cooper such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1831691948 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225100000X | Physical Therapist | 7811204-2402 (Utah) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 171000000X | Military Health Care Provider | (* (Not Available)) | Primary |
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. Reese Jerel Cooper is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Reese Jerel Cooper, DO
3 Saint Elizabeth Blvd Ste 4000,
O Fallon, IL 62269-1284
Ph: (618) 256-9355 | Reese Jerel Cooper, DO
3 Saint Elizabeth Blvd Ste 4000,
O Fallon, IL 62269-1284
Ph: (618) 256-9355 |
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