Abigail Sanders Cooper, APRN, CPNP-PC in San Diego, CA

Abigail Sanders Cooper, APRN, CPNP-PC is a medicare enrolled "Nurse Practitioner - Pediatrics" in San Diego, California. Her current practice location is 2790 Truxtun Rd Ste 120a, San Diego, California. You can reach out to her office (for appointments etc.) via phone at (192) 221-2536.

Abigail Sanders Cooper is licensed to practice in California (license number NPF95017623) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1023659463.

Contact Information

	Abigail Sanders Cooper, APRN, CPNP-PC
	2790 Truxtun Rd Ste 120a, San Diego, CA 92106-6135
	(192) 221-2536
	Not Available

Map and Direction

Provider's Profile

Full Name	Abigail Sanders Cooper
Gender	Female
Speciality	Nurse Practitioner - Pediatrics
Location	2790 Truxtun Rd Ste 120a, San Diego, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1023659463
Provider Enumeration Date: 10/07/2019
Last Update Date: 04/01/2024

Medicare PECOS Information:

PECOS PAC ID: 7113351289
Enrollment ID: I20191223002418

Medical Identifiers

Medical identifiers for Abigail Sanders Cooper such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1023659463	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	NPF95017623 (California)	Secondary
363LF0000X	Nurse Practitioner - Family	NPF95017623 (California)	Secondary
363LP0200X	Nurse Practitioner - Pediatrics	26530 (Tennessee)	Secondary
363LP0200X	Nurse Practitioner - Pediatrics	NPF95017623 (California)	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. Abigail Sanders Cooper allows following entities to bill medicare on her behalf.

Entity Name	Maury Regional Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1861479545 PECOS PAC ID: 4688569718 Enrollment ID: O20040330001709

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. Abigail Sanders 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
Abigail Sanders Cooper, APRN, CPNP-PC 10790 Rancho Bernardo Rd, San Diego, CA 92127-5705 Ph: (760) 827-4700	Abigail Sanders Cooper, APRN, CPNP-PC 2790 Truxtun Rd Ste 120a, San Diego, CA 92106-6135 Ph: (192) 221-2536

Reviews and Comments

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Abigail Sanders Cooper, APRN, CPNP-PC - Medicare Nurse Practitioner in San Diego, CA