Brooke Ann Cooper, FNP-C is a medicare enrolled "Nurse Practitioner - Family" physician in Granbury, Texas. Her current practice location is
805 Hill Blvd Unit 104, Granbury, Texas. You can reach out to her office (for appointments etc.) via phone at
(817) 573-5688.
Brooke Ann Cooper is licensed to practice in Kentucky (license number 3014631) 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 1437627221.
Physician's Profile
| Full Name | Brooke Ann Cooper |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 805 Hill Blvd Unit 104, Granbury, Texas |
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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: 1437627221
- Provider Enumeration Date: 11/09/2018
- Last Update Date: 06/02/2022
Medicare PECOS Information:
- PECOS PAC ID: 7214352723
- Enrollment ID: I20200730003715
Medical Identifiers
Medical identifiers for Brooke Ann Cooper such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1437627221 | NPI | - | NPPES |
| AP139698 | Other | TX | TEXAS BOARD OF NURSING |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207Q00000X | Family Medicine | AP139698 (Texas) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 3014631 (Kentucky) | 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. Brooke Ann Cooper allows following entities to bill medicare on her behalf.
| Entity Name | Fast Pace Kentucky, Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1457716706 PECOS PAC ID: 0143525998 Enrollment ID: O20160216002913 |
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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. Brooke Ann 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 |
Brooke Ann Cooper, FNP-C 401 Main St, Benton, KY 42025 Ph: (270) 906-0369 | Brooke Ann Cooper, FNP-C 805 Hill Blvd Unit 104, Granbury, TX 76048-1482 Ph: (817) 573-5688 |
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