Dr Cedric Kenod Cooper, DPM is a medicare enrolled "Podiatrist" provider in Ripley, Tennessee. His current practice location is
647 S Washington St, Ripley, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(731) 635-4800.
Dr Cedric Kenod Cooper is licensed to practice in Tennessee (license number 628) 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 1184695306.
Healthcare Provider's Profile
| Full Name | Dr Cedric Kenod Cooper |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 647 S Washington St, Ripley, Tennessee |
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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 Cedric Kenod Cooper attended and graduated from in
NPI Data:
- NPI Number: 1184695306
- Provider Enumeration Date: 01/27/2006
- Last Update Date: 12/30/2024
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Cedric Kenod Cooper such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1184695306 | NPI | - | NPPES |
| 3353992 | Medicaid | TN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 213E00000X | Podiatrist | PD0142 (Louisiana) | Secondary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | (Tennessee) | Secondary |
| 213E00000X | Podiatrist | 628 (Tennessee) | 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. Dr Cedric Kenod 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 Cedric Kenod Cooper, DPM
647 S Washington St,
Ripley, TN 38063-2044
Ph: (731) 635-4800 | Dr Cedric Kenod Cooper, DPM
647 S Washington St,
Ripley, TN 38063-2044
Ph: (731) 635-4800 |
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