Zach Cooper, is a medicare enrolled "Physical Therapist - Orthopedic" provider in Chicago, Illinois. 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 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 1558770685.
Healthcare Provider's Profile
| Full Name | Zach Cooper |
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| Gender | Male |
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| Speciality | Physical Therapist - Orthopedic |
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| Location | 845 N Michigan Ave Ste 973w, Chicago, Illinois |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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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 |
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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