Ms Johanna Karin Cooper, FNP is a medicare enrolled "Nurse Practitioner - Acute Care" in Zuni, New Mexico. Her current practice location is
Route 301 North & B Avenue, Zuni Hospital, Zuni, New Mexico. You can reach out to her office (for appointments etc.) via phone at
(505) 782-4431.
Ms Johanna Karin Cooper is licensed to practice in Massachusetts (license number 236137) 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 1255477394.
Provider's Profile
| Full Name | Ms Johanna Karin Cooper |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Acute Care |
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| Location | Route 301 North & B Avenue, Zuni, New Mexico |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1255477394
- Provider Enumeration Date: 01/29/2007
- Last Update Date: 03/20/2015
Medicare PECOS Information:
- PECOS PAC ID: 1456401744
- Enrollment ID: I20090608000441
Medical Identifiers
Medical identifiers for Ms Johanna Karin Cooper such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1255477394 | NPI | - | NPPES |
| 65456327 | Medicaid | NM | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363LA2100X | Nurse Practitioner - Acute Care | 236137 (Massachusetts) | 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. Ms Johanna Karin Cooper allows following entities to bill medicare on her behalf.
| Entity Name | Zuni Indian Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1497843734 PECOS PAC ID: 5698689644 Enrollment ID: O20031114000284 |
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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. Ms Johanna Karin 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 |
Ms Johanna Karin Cooper, FNP Po Box 467, Zuni, NM 87327-0467 Ph: (505) 782-4431 | Ms Johanna Karin Cooper, FNP Route 301 North & B Avenue, Zuni Hospital, Zuni, NM 87327 Ph: (505) 782-4431 |
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