Zach Cooper, is a medicare enrolled "Physical Therapist - Orthopedic" provider in Chicago, Illinois. He graduated from medical school in 2022 and has 3 years of diverse experience with area of expertise as Physical Therapist In Private Practice. He is a member of the group practice Revolution Ptwl Llc and his current practice location is
845 N Michigan Ave Ste 973w, Chicago, Illinois. You can reach out to his office (for appointments etc.) via phone at
(312) 651-6255.
Zach Cooper is licensed to practice in Illinois (license number 070026914) 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 1558770685.
Healthcare Provider's Profile
| Full Name | Zach Cooper |
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| Gender | Male |
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| Speciality | Physical Therapist In Private Practice |
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| Experience | 3 Years |
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| Location | 845 N Michigan Ave Ste 973w, Chicago, Illinois |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Zach Cooper graduated from medical school in 2022
NPI Data:
- NPI Number: 1558770685
- Provider Enumeration Date: 08/02/2014
- Last Update Date: 10/06/2022
Medicare PECOS Information:
- PECOS PAC ID: 0446628770
- Enrollment ID: I20221117002372
Medical Identifiers
Medical identifiers for Zach Cooper such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1558770685 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225700000X | Massage Therapist | 227.016384 (Illinois) | Secondary |
| 2251X0800X | Physical Therapist - Orthopedic | 070026914 (Illinois) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Revolution Ptwl Llc | 7719115617 | 32 |
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. Zach Cooper allows following entities to bill medicare on his behalf.
| Provider Name | Revolution Ptwl Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1164766606
PECOS PAC ID: 7719115617
Enrollment ID: O20140123001222 |
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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. Zach 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 |
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Zach Cooper,
845 N Michigan Ave Ste 973w,
Chicago, IL 60611-2218
Ph: (312) 651-6255 | Zach Cooper,
845 N Michigan Ave Ste 973w,
Chicago, IL 60611-2218
Ph: (312) 651-6255 |
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