Cooper Marc Jackson, - Medicare Physician Assistant in La Crosse, WI

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Cooper Marc Jackson, is a medicare enrolled "Physician Assistant - Medical" in La Crosse, Wisconsin. He graduated from nursing school in 2024 and has 2 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Polinsky Medical Rehabilitation Center, Gundersen Lutheran Medical Center Inc, Gundersen Clinic Ltd, St Marys Medical Center, Essentia Health Virginia Llc and his current practice location is 1836 South Ave, La Crosse, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (608) 782-7300.

Cooper Marc Jackson is licensed to practice in Wisconsin (license number 7930) 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 1053013383.

Contact Information

Cooper Marc Jackson,
1836 South Ave,
La Crosse, WI 54601-5429
(608) 782-7300
Not Available

Map and Direction




Provider's Profile

Full NameCooper Marc Jackson
GenderMale
SpecialityPhysician Assistant
Experience2 Years
Location1836 South Ave, La Crosse, Wisconsin
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Cooper Marc Jackson graduated from nursing school in 2024
  NPI Data:
  • NPI Number: 1053013383
  • Provider Enumeration Date: 03/20/2023
  • Last Update Date: 10/22/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 9335672260
  • Enrollment ID: I20260316000756

Medical Identifiers

Medical identifiers for Cooper Marc Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053013383NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical 7930 (Wisconsin)Primary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Essentia Health St Mary's Medical CenterDuluth, MNHospital
Essentia Health St Mary's Hospital - SuperiorSuperior, WIHospital
Essentia Health VirginiaVirginia, MNHospital
Gundersen Lutheran Medical CenterLa crosse, WIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Polinsky Medical Rehabilitation Center0941377360369
Gundersen Lutheran Medical Center Inc2163331414888
Gundersen Clinic Ltd9638082779422
St Marys Medical Center690170635791
Essentia Health Virginia Llc781014900264

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. Cooper Marc Jackson allows following entities to bill medicare on his behalf.
Entity NameSt Marys Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457393035
PECOS PAC ID: 6901706357
Enrollment ID: O20040112000118
Entity NameEssentia Health Virginia LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083617120
PECOS PAC ID: 7810149002
Enrollment ID: O20130306000467
Entity NameWelia Health
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1528031390
PECOS PAC ID: 6709295496
Enrollment ID: O20210722002959
Entity NameWelia Health
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528031390
PECOS PAC ID: 6709295496
Enrollment ID: O20220125001227

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. Cooper Marc Jackson 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 AddressPractice Location Address
Cooper Marc Jackson,
1836 South Ave,
La Crosse, WI 54601-5429

Ph: (608) 782-7300		Cooper Marc Jackson,
1836 South Ave,
La Crosse, WI 54601-5429

Ph: (608) 782-7300

Reviews and Comments


Physician Assistant Nurses in La Crosse, WI

Holly Lee White Engler, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1836 South Ave, La Crosse, WI 54601
Phone: 608-782-7300    
Cheryl F Nigl, PA
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Practice Location: 1836 South Ave, La Crosse, WI 54601
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Anthony M Sanchez, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1836 South Ave, La Crosse, WI 54601
Phone: 608-782-7300    
Samuel D Brauer, PA
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Medicare: Accepting Medicare Assignments
Practice Location: 2222 Kwik Trip Way, La Crosse, WI 54603
Phone: 608-781-5848    Fax: 608-781-5587
Whitney Jo Brusich, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1836 South Ave, La Crosse, WI 54601
Phone: 608-782-7300    
Nolan Benjamin Rohrer, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1836 South Ave, La Crosse, WI 54601
Phone: 608-782-7300    
Douglas P Skinner, PAC
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Medicare: Not Enrolled in Medicare
Practice Location: 700 West Ave S, La Crosse, WI 54601
Phone: 608-785-0940    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.