Dana Lee Cooper, FNP is a medicare enrolled "Nurse Practitioner - Family" in Campbell, Missouri. Her current practice location is
413 W Grand Ave, Campbell, Missouri. You can reach out to her office (for appointments etc.) via phone at
(573) 246-2582.
Dana Lee Cooper is licensed to practice in Missouri (license number 093670) 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 1205006871.
Provider's Profile
| Full Name | Dana Lee Cooper |
|---|
| Gender | Female |
|---|
| Speciality | Nurse Practitioner - Family |
|---|
| Location | 413 W Grand Ave, Campbell, Missouri |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1205006871
- Provider Enumeration Date: 03/10/2008
- Last Update Date: 12/05/2014
Medicare PECOS Information:
- PECOS PAC ID: 9335218536
- Enrollment ID: I20161117002621
Medical Identifiers
Medical identifiers for Dana Lee Cooper such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1205006871 | NPI | - | NPPES |
| 000010626 | Other | MO | GROUP PROVIDER TRANSACTION ACCESS NUMBER |
| 428416705 | Medicaid | MO | |
| 838710626 | Other | MO | PROVIDER TRANSACTION ACCESS NUMBER |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LF0000X | Nurse Practitioner - Family | 093670 (Missouri) | 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. Dana Lee Cooper allows following entities to bill medicare on her behalf.
| Entity Name | Piggott Community Hospital |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1871555185
PECOS PAC ID: 0345140448
Enrollment ID: O20040113000615 |
|---|
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. Dana Lee 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 |
|---|
Dana Lee Cooper, FNP
413 W Grand Ave,
Campbell, MO 63933-1523
Ph: (573) 246-2582 | Dana Lee Cooper, FNP
413 W Grand Ave,
Campbell, MO 63933-1523
Ph: (573) 246-2582 |
Reviews and Comments