Lana Cooper, FNP-C in Southaven, MS - Medicare Nurse Practitioner

Lana Cooper, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Southaven, Mississippi. Her current practice location is 2149 Stateline Rd W, Southaven, Mississippi. You can reach out to her office (for appointments etc.) via phone at (662) 342-1112.

Lana Cooper is licensed to practice in Mississippi (license number 905696) 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 1407552128.

Contact Information

	Lana Cooper, FNP-C
	2149 Stateline Rd W, Southaven, MS 38671-1222
	(662) 342-1112
	(662) 393-1478

Map and Direction

Provider's Profile

Full Name	Lana Cooper
Gender	Female
Speciality	Nurse Practitioner - Family
Location	2149 Stateline Rd W, Southaven, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1407552128
Provider Enumeration Date: 02/03/2023
Last Update Date: 06/06/2023

Medicare PECOS Information:

PECOS PAC ID: 5496127540
Enrollment ID: I20230217002613

Medical Identifiers

Medical identifiers for Lana Cooper such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1407552128	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	905696 (Mississippi)	Primary

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. Lana Cooper allows following entities to bill medicare on her behalf.

Entity Name	Midsouth Medicine
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1194894147 PECOS PAC ID: 3971579400 Enrollment ID: O20040907000889

Entity Name	Redmed, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437589157 PECOS PAC ID: 2961633656 Enrollment ID: O20140321001095

Entity Name	Fast Pace Mississippi Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447769559 PECOS PAC ID: 3678832029 Enrollment ID: O20180111000291

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. Lana 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
Lana Cooper, FNP-C 2149 Stateline Rd W, Southaven, MS 38671-1222 Ph: (662) 342-1112	Lana Cooper, FNP-C 2149 Stateline Rd W, Southaven, MS 38671-1222 Ph: (662) 342-1112

Reviews and Comments

Nurse Practitioner Nurses in Southaven, MS

Ms. Sherlean D Shugars, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2149 Stateline Rd W, Southaven, MS 38671 Phone: 662-342-1112
Penny Marie Holley, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3964 Goodman Rd E Ste 128-129, Southaven, MS 38672 Phone: 662-655-0456 Fax: 662-655-0457
Mrs. Christy Le Anne Egbert, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 122 Airways Pl, Southaven, MS 38671 Phone: 662-349-9990 Fax: 662-349-2620
Misty Burton, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 391 Southcrest Cir, Southaven, MS 38671 Phone: 662-349-2659
Rebecca Holly T Robertson, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 122 Airways Pl, Southaven, MS 38671 Phone: 662-349-9990 Fax: 662-349-2620
Debra Gail Gill, RNC, MSN, WHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4892 Briarton Dr, Southaven, MS 38672 Phone: 901-262-0332
Jessica N Brown, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 55 Physicians Ln, Southaven, MS 38671 Phone: 662-655-2136

Lana Cooper, FNP-C - Medicare Nurse Practitioner in Southaven, MS