Dr Cedric Kenod Cooper, DPM is a medicare enrolled "Podiatrist" provider in Ripley, Tennessee. He went to William M. Scholl College Of Podiatric Medicine and graduated in 2002 and has 22 years of diverse experience with area of expertise as Podiatry. He is a member of the group practice Memphis Health Center, Inc. and 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 | Podiatry |
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| Experience | 22 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 William M. Scholl College Of Podiatric Medicine in 2002
NPI Data:
- NPI Number: 1184695306
- Provider Enumeration Date: 01/27/2006
- Last Update Date: 12/27/2017
Medicare PECOS Information:
- PECOS PAC ID: 6901703537
- Enrollment ID: I20040528000462
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 | 628 (Tennessee) | Primary |
| 213E00000X | Podiatrist | PD0142 (Louisiana) | Secondary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | (Tennessee) | Secondary |
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 Cedric Kenod Cooper allows following entities to bill medicare on his behalf.
| Provider Name | Memphis Health Center, Inc. |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1144236902
PECOS PAC ID: 7315859972
Enrollment ID: O20031103000245 |
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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 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 |
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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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