Audrey Cooper, is a medicare enrolled "Physician Assistant" in Tustin, Michigan. She graduated from nursing school in 2021 and has 5 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Peterson Medical Clinics Llc, Peterson Medical Clinics Llc, Peterson Medical Clinics Llc, Peterson Medical Clinics Llc, Yukon-kuskokwim Health Corporation and her current practice location is
22560 130th Ave, Tustin, Michigan. You can reach out to her office (for appointments etc.) via phone at
(231) 206-1626.
Audrey Cooper is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1003407867.
Provider's Profile
| Full Name | Audrey Cooper |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 5 Years |
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| Location | 22560 130th Ave, Tustin, Michigan |
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| Accepts Medicare Assignments | Yes. She 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:
- Audrey Cooper graduated from nursing school in 2021
NPI Data:
- NPI Number: 1003407867
- Provider Enumeration Date: 02/03/2021
- Last Update Date: 10/28/2025
Medicare PECOS Information:
- PECOS PAC ID: 8527408475
- Enrollment ID: I20260220000106
Medical Identifiers
Medical identifiers for Audrey Cooper such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1003407867 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Peterson Medical Clinics Llc | 9335412220 | 91 |
| Peterson Medical Clinics Llc | 9335412220 | 91 |
| Peterson Medical Clinics Llc | 9335412220 | 91 |
| Peterson Medical Clinics Llc | 9335412220 | 91 |
| Yukon-kuskokwim Health Corporation | 5193718765 | 24 |
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. Audrey Cooper allows following entities to bill medicare on her behalf.
| Entity Name | Norton Sound Health Corporation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1154358232
PECOS PAC ID: 7517858137
Enrollment ID: O20040323001076 |
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| Entity Name | Norton Sound Health Corporation |
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| Entity Type | Part A Provider - Critical Access Hospital |
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| Entity Identifiers | NPI Number: 1225101041
PECOS PAC ID: 7517858137
Enrollment ID: O20080227000439 |
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| Entity Name | Peterson Medical Clinics LLC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1699295774
PECOS PAC ID: 9335412220
Enrollment ID: O20190114000776 |
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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. Audrey 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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Audrey Cooper,
22560 130th Ave,
Tustin, MI 49688-8565
Ph: Not Available | Audrey Cooper,
22560 130th Ave,
Tustin, MI 49688-8565
Ph: (231) 206-1626 |
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