Cooper Clinic Pa - Medicare Primary Care in Fort Smith, AR

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Cooper Clinic Pa is a medicare enrolled primary clinic (Clinic/center - Multi-specialty) in Fort Smith, Arkansas. The current practice location for Cooper Clinic Pa is 6801 Rogers Ave, Fort Smith, Arkansas. For appointments, you can reach them via phone at (479) 274-2000. The mailing address for Cooper Clinic Pa is Po Box 3528, Fort Smith, Arkansas and phone number is (479) 274-2000.

Cooper Clinic Pa is licensed to practice in Arkansas (license number MC-0254). The clinic also participates in the medicare program and its NPI number is 1154341931. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (479) 274-2000.

Contact Information

Cooper Clinic Pa
6801 Rogers Ave
Fort Smith
AR 72903-4067
(479) 274-2000
Not Available

Map and Direction


Primary Care Clinic Profile

Full NameCooper Clinic Pa
SpecialityClinic/Center
Location6801 Rogers Ave, Fort Smith, Arkansas
Authorized Official Name and PositionCurtis D Ralston (CEO)
Authorized Official Contact4792742000
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Cooper Clinic Pa
Po Box 3528
Fort Smith
AR 72913-3528

Ph: (479) 274-2000		Cooper Clinic Pa
6801 Rogers Ave
Fort Smith
AR 72903-4067

Ph: (479) 274-2000

NPI Details:

NPI Number1154341931
Provider Enumeration Date07/21/2006
Last Update Date09/01/2015

Medicare PECOS Information:

Medicare PECOS PAC ID1153219621
Medicare Enrollment IDO20040607000412

Medical Identifiers

Medical identifiers for Cooper Clinic Pa such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1154341931NPI-NPPES
105693002MedicaidAR
C50280OtherRR MEDICARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QM1300XClinic/center - Multi-specialty MC-0254 (Arkansas)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Cooper Clinic Pa acts as a billing entity for following providers:
Provider NameEugene H Alexander
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1407862527
PECOS PAC ID: 5294622601
Enrollment ID: I20040301001144
Provider NameTerry L Clark
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1184654774
PECOS PAC ID: 0042100331
Enrollment ID: I20040318001732
Provider NameDeborah A Hays
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1831187699
PECOS PAC ID: 1658342654
Enrollment ID: I20040803001573
Provider NameLaura G Moore-farrell
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1922078146
PECOS PAC ID: 7517910391
Enrollment ID: I20050222000578
Provider NameLeo F Drolshagen
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1073589321
PECOS PAC ID: 5698729622
Enrollment ID: I20050311000417
Provider NameDeland D Burks
Provider TypePractitioner - Interventional Radiology
Provider IdentifiersNPI Number: 1528034873
PECOS PAC ID: 4486608429
Enrollment ID: I20050311000456
Provider NameRichard A Nelson
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1356317689
PECOS PAC ID: 6002860053
Enrollment ID: I20050311000585
Provider NameRichard Brown
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1942276290
PECOS PAC ID: 8426002411
Enrollment ID: I20050311000885
Provider NameCecil Chris Honaker
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1407963267
PECOS PAC ID: 5799880720
Enrollment ID: I20070419000092
Provider NameJohn Hence Harp
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1487720744
PECOS PAC ID: 8729186218
Enrollment ID: I20070606000751
Provider NameHubert M Landers
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1538189634
PECOS PAC ID: 0244235489
Enrollment ID: I20080304000213
Provider NameJohn L Kareus
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1033138821
PECOS PAC ID: 9739242140
Enrollment ID: I20090112000453
Provider NameMichael D Coleman
Provider TypePractitioner - Nephrology
Provider IdentifiersNPI Number: 1326078924
PECOS PAC ID: 7719027358
Enrollment ID: I20091212000111
Provider NameJacob K Joseph
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1053330175
PECOS PAC ID: 4183764749
Enrollment ID: I20091214000181
Provider NameRandolph P Fleck
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1952333403
PECOS PAC ID: 8527108190
Enrollment ID: I20091214000220
Provider NameTonya L Phillips
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1952323297
PECOS PAC ID: 1951441526
Enrollment ID: I20091214000251
Provider NameBrian H Rodgers
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1093737280
PECOS PAC ID: 4082754585
Enrollment ID: I20091214000616
Provider NameCharles Craft
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1013945138
PECOS PAC ID: 4385784826
Enrollment ID: I20091215000163
Provider NamePamela J Christopher Harmon
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1700805330
PECOS PAC ID: 6103966593
Enrollment ID: I20091215000639
Provider NameJames S Deneke
Provider TypePractitioner - Rheumatology
Provider IdentifiersNPI Number: 1689605784
PECOS PAC ID: 2466592878
Enrollment ID: I20091216000123
Provider NamePaul K Howell
Provider TypePractitioner - Endocrinology
Provider IdentifiersNPI Number: 1063431328
PECOS PAC ID: 0446390850
Enrollment ID: I20091216000143
Provider NameJohn P Agent
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1649217191
PECOS PAC ID: 2365582624
Enrollment ID: I20091216000595
Provider NameRowland P Vernon
Provider TypePractitioner - Thoracic Surgery
Provider IdentifiersNPI Number: 1003825498
PECOS PAC ID: 0042350191
Enrollment ID: I20091221000507
Provider NameDonald P Samms
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1669494860
PECOS PAC ID: 7012057177
Enrollment ID: I20091221000543
Provider NameMichael Wmd Callaway
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1497781918
PECOS PAC ID: 8729120340
Enrollment ID: I20100120000616
Provider NameMichael Wolfe
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1275542581
PECOS PAC ID: 9537201892
Enrollment ID: I20100125000411
Provider NameStephen Manus
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1932126638
PECOS PAC ID: 4284605643
Enrollment ID: I20100127000163
Provider NameNarender Rao Gorukanti
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1184659054
PECOS PAC ID: 7416091186
Enrollment ID: I20100218000385
Provider NameKevin Doolittle
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1316260458
PECOS PAC ID: 0547394934
Enrollment ID: I20100820000696
Provider NameStephen Anthony Heim
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1669481321
PECOS PAC ID: 7113815689
Enrollment ID: I20100827000407
Provider NameLane T Carter
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1003044207
PECOS PAC ID: 5698951994
Enrollment ID: I20110523000296
Provider NameIsam A Abdel-karim
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1639359714
PECOS PAC ID: 8527134105
Enrollment ID: I20111212000896
Provider NameChristopher Cross
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1013170596
PECOS PAC ID: 6507902277
Enrollment ID: I20140618000845
Provider NameEric Anthony Heim
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1477780799
PECOS PAC ID: 4385959584
Enrollment ID: I20150818003475
Provider NameGeoffrey Paddack
Provider TypePractitioner - Interventional Radiology
Provider IdentifiersNPI Number: 1609194455
PECOS PAC ID: 8729370093
Enrollment ID: I20160706001788
Provider NameRebecca A Sanders
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1245581479
PECOS PAC ID: 7315190824
Enrollment ID: I20160707002470
Provider NameCurtis J Boyd
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1346501020
PECOS PAC ID: 7911297346
Enrollment ID: I20160726000214
Provider NameChristy Bantong
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1598295826
PECOS PAC ID: 5799057188
Enrollment ID: I20170819000109

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Available Medical Care
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Practice Location: 7320 Rogers Ave, Suite 1, Fort Smith, AR 72903
Phone: 479-452-6362    Fax: 479-484-5652

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.