Reese Jerel Cooper, DO is a medicare enrolled "General Practice" physician in Mcclellan, California. His current practice location is
5342 Dudley Blvd Bldg 98, Mcclellan, California. You can reach out to his office (for appointments etc.) via phone at
(916) 561-7793.
Reese Jerel Cooper is licensed to practice in Nebraska (license number 3002) 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 1831691948.
Physician's Profile
| Full Name | Reese Jerel Cooper |
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| Gender | Male |
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| Speciality | General Practice |
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| Location | 5342 Dudley Blvd Bldg 98, Mcclellan, 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: 1831691948
- Provider Enumeration Date: 03/05/2018
- Last Update Date: 07/27/2026
Medicare PECOS Information:
- PECOS PAC ID: 4981133675
- Enrollment ID: I20250124002122
Medical Identifiers
Medical identifiers for Reese Jerel Cooper such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1831691948 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208D00000X | General Practice | 3002 (Nebraska) | Primary |
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. Reese Jerel 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 |
Reese Jerel Cooper, DO 3 Saint Elizabeth Blvd Ste 4000, O Fallon, IL 62269-1284 Ph: (618) 256-9355 | Reese Jerel Cooper, DO 5342 Dudley Blvd Bldg 98, Mcclellan, CA 95652-1012 Ph: (916) 561-7793 |
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