Dr Douglas M Cooper, MD is a medicare enrolled "Orthopaedic Surgery" physician in Grundy Center, Iowa. His current practice location is
201 E J Avenue, Grundy Center, Iowa. You can reach out to his office (for appointments etc.) via phone at
(319) 824-5081.
Dr Douglas M Cooper is licensed to practice in Iowa (license number 29245) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1770576050.
Physician's Profile
| Full Name | Dr Douglas M Cooper |
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| Gender | Male |
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| Speciality | Orthopaedic Surgery |
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| Location | 201 E J Avenue, Grundy Center, Iowa |
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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: 1770576050
- Provider Enumeration Date: 08/23/2005
- Last Update Date: 10/18/2010
Medicare PECOS Information:
- PECOS PAC ID: 4082743455
- Enrollment ID: I20100522000134
Medical Identifiers
Medical identifiers for Dr Douglas M Cooper such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1770576050 | NPI | - | NPPES |
| 13115 | Other | IA | WELLMARK BCBS |
| 0100859 | Medicaid | IA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207X00000X | Orthopaedic Surgery | 29245 (Iowa) | 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. Dr Douglas M Cooper allows following entities to bill medicare on his behalf.
| Entity Name | Delaware County Memorial Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1982667929 PECOS PAC ID: 2062316375 Enrollment ID: O20031119000881 |
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| Entity Name | Grundy County Memorial Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1114012085 PECOS PAC ID: 6406766435 Enrollment ID: O20040217000174 |
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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 Douglas M 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 |
Dr Douglas M Cooper, MD 201 E J Avenue, Grundy Center, IA 50638 Ph: (319) 824-5081 | Dr Douglas M Cooper, MD 201 E J Avenue, Grundy Center, IA 50638 Ph: (319) 824-5081 |
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