Dr Mindy Ellen Cooper-smith, MD is a medicare enrolled "Pathology - Anatomic Pathology & Clinical Pathology" physician in South Lake Tahoe, California. Her current practice location is
2170 South Ave, Barton Memorial Hospital Pathology, South Lake Tahoe, California. You can reach out to her office (for appointments etc.) via phone at
(530) 412-2309.
Dr Mindy Ellen Cooper-smith is licensed to practice in California (license number G39196) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1396734877.
Physician's Profile
Full Name | Dr Mindy Ellen Cooper-smith |
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Gender | Female |
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Speciality | Pathology - Anatomic Pathology & Clinical Pathology |
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Location | 2170 South Ave, South Lake Tahoe, California |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1396734877
- Provider Enumeration Date: 10/18/2005
- Last Update Date: 09/08/2014
Medicare PECOS Information:
- PECOS PAC ID: 8628216793
- Enrollment ID: I20130531000022
Medical Identifiers
Medical identifiers for Dr Mindy Ellen Cooper-smith such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1396734877 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | G39196 (California) | Primary |
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 5336 (Nevada) | Secondary |
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 12991 (Arizona) | 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 Mindy Ellen Cooper-smith allows following entities to bill medicare on her behalf.
Entity Name | Western Pathology Consultants Ltd |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1003366188 PECOS PAC ID: 6406833094 Enrollment ID: O20160114002881 |
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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 Mindy Ellen Cooper-smith 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 Mindy Ellen Cooper-smith, MD 2170 South Ave, South Lake Tahoe, CA 96150 Ph: (530) 412-2309 | Dr Mindy Ellen Cooper-smith, MD 2170 South Ave, Barton Memorial Hospital Pathology, South Lake Tahoe, CA 96150 Ph: (530) 412-2309 |
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