Terry L Cooper, NP is a medicare enrolled "Nurse Practitioner - Neonatal" physician in Winston Salem, North Carolina. His current practice location is
Medical Center Blvd, Winston Salem, North Carolina. You can reach out to his office (for appointments etc.) via phone at
(336) 716-2255.
Terry L Cooper is licensed to practice in North Carolina (license number 141392) 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 1356594360.
Physician's Profile
Full Name | Terry L Cooper |
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Gender | Male |
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Speciality | Nurse Practitioner - Neonatal |
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Location | Medical Center Blvd, Winston Salem, North Carolina |
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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: 1356594360
- Provider Enumeration Date: 11/04/2008
- Last Update Date: 06/08/2021
Medicare PECOS Information:
- PECOS PAC ID: 7911265327
- Enrollment ID: I20171212002470
Medical Identifiers
Medical identifiers for Terry L Cooper such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1356594360 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2080N0001X | Pediatrics - Neonatal-perinatal Medicine | 141392 (North Carolina) | Secondary |
363L00000X | Nurse Practitioner | 141392 (North Carolina) | Secondary |
363LN0000X | Nurse Practitioner - Neonatal | 141392 (North Carolina) | 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. Terry L Cooper allows following entities to bill medicare on his behalf.
Entity Name | Novant Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1366409492 PECOS PAC ID: 1153234893 Enrollment ID: O20031121000692 |
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Entity Name | Dlp Central Carolina Physician Practices Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1396101689 PECOS PAC ID: 6709180656 Enrollment ID: O20160212001472 |
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Entity Name | Dlp Frye Medical Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1821537697 PECOS PAC ID: 8123397601 Enrollment ID: O20170627003051 |
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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. Terry L 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 |
Terry L Cooper, NP Po Box 344, Winston Salem, NC 27102-0344 Ph: (336) 716-2255 | Terry L Cooper, NP Medical Center Blvd, Winston Salem, NC 27157-0001 Ph: (336) 716-2255 |
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