Dr Jac Alan Cooper Jr, MD - Medicare Colorectal Surgery (proctology) in Springfield, IL

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Dr Jac Alan Cooper Jr, MD is a medicare enrolled "Colon & Rectal Surgery" physician in Springfield, Illinois. He went to Indiana University School Of Medicine and graduated in 2012 and has 14 years of diverse experience with area of expertise as Colorectal Surgery (proctology). He is a member of the group practice Menard Medical Center, Llc, Memorial Physician Services, Springfield Clinic, Llp, Osf Multi-specialty Group, Springfield Clinic, Llp and his current practice location is 900 N 1st St, Springfield, Illinois. You can reach out to his office (for appointments etc.) via phone at (217) 528-7541.

Dr Jac Alan Cooper Jr is licensed to practice in Illinois (license number 036153198) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1144583287.

Contact Information

Dr Jac Alan Cooper Jr, MD
900 N 1st St,
Springfield, IL 62702-3749
(217) 528-7541
Not Available

Map and Direction




Physician's Profile

Full NameDr Jac Alan Cooper Jr
GenderMale
SpecialityColorectal Surgery (proctology)
Experience14 Years
Location900 N 1st St, Springfield, Illinois
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Jac Alan Cooper Jr attended and graduated from Indiana University School Of Medicine in 2012
  NPI Data:
  • NPI Number: 1144583287
  • Provider Enumeration Date: 06/22/2012
  • Last Update Date: 11/11/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 0749429579
  • Enrollment ID: I20200729002586

Medical Identifiers

Medical identifiers for Dr Jac Alan Cooper Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1144583287NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208C00000XColon & Rectal Surgery 036153198 (Illinois)Primary
208C00000XColon & Rectal Surgery 01080567A (Indiana)Secondary
208600000XSurgery 01080567A (Indiana)Secondary
208600000XSurgery 125.061379 (Illinois)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Memorial Medical CenterSpringfield, ILHospital
St Johns HospitalSpringfield, ILHospital
Jacksonville Memorial HospitalJacksonville, ILHospital
St Joseph Medical CenterBloomington, ILHospital
St Francis HospitalLitchfield, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Menard Medical Center, Llc27695470909
Memorial Physician Services9032005681161
Springfield Clinic, Llp0547166076678
Osf Multi-specialty Group36788897892123
Springfield Clinic, Llp0547166076678

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 Jac Alan Cooper Jr allows following entities to bill medicare on his behalf.
Entity NameSpringfield Clinic, LLP
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780638478
PECOS PAC ID: 0547166076
Enrollment ID: O20040331000826
Entity NameOSF Multi-specialty Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922445527
PECOS PAC ID: 3678889789
Enrollment ID: O20150904000279

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 Jac Alan Cooper Jr 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 AddressPractice Location Address
Dr Jac Alan Cooper Jr, MD
Po Box 19248,
Springfield, IL 62794-9248

Ph: (217) 528-7541		Dr Jac Alan Cooper Jr, MD
900 N 1st St,
Springfield, IL 62702-3749

Ph: (217) 528-7541

Reviews and Comments



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.