Brandy Nicole Cooper, is a medicare enrolled "Nurse Practitioner - Adult Health" in Lamar, Arkansas. She graduated from nursing school in 2021 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Access Medical Clinic Arkansas Llc and her current practice location is
291 W Main St, Lamar, Arkansas. You can reach out to her office (for appointments etc.) via phone at
(479) 703-5000.
Brandy Nicole Cooper is licensed to practice in Arkansas (license number 216171) 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 1275105983.
Provider's Profile
| Full Name | Brandy Nicole Cooper |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 5 Years |
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| Location | 291 W Main St, Lamar, Arkansas |
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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:
- Brandy Nicole Cooper graduated from nursing school in 2021
NPI Data:
- NPI Number: 1275105983
- Provider Enumeration Date: 07/13/2021
- Last Update Date: 07/13/2021
Medicare PECOS Information:
- PECOS PAC ID: 4385048552
- Enrollment ID: I20210810002375
Medical Identifiers
Medical identifiers for Brandy Nicole Cooper such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1275105983 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LA2200X | Nurse Practitioner - Adult Health | 216171 (Arkansas) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Access Medical Clinic Arkansas Llc | 5890077093 | 151 |
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. Brandy Nicole Cooper allows following entities to bill medicare on her behalf.
| Entity Name | Access Medical Clinic Arkansas Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1578007647
PECOS PAC ID: 5890077093
Enrollment ID: O20170124001288 |
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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. Brandy Nicole 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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Brandy Nicole Cooper,
4196 Highway 62 412 Ste A,
Hardy, AR 72542-8002
Ph: (870) 856-1202 | Brandy Nicole Cooper,
291 W Main St,
Lamar, AR 72846-8195
Ph: (479) 703-5000 |
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