Reese Jerel Cooper, DO is a medicare enrolled "Military Health Care Provider" provider in O Fallon, Illinois. His current practice location is
3 Saint Elizabeth Blvd Ste 4000, O Fallon, Illinois. You can reach out to his office (for appointments etc.) via phone at
(618) 256-9355.
Reese Jerel Cooper is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1831691948.
Healthcare Provider's Profile
Full Name | Reese Jerel Cooper |
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Gender | Male |
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Speciality | Military Health Care Provider |
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Location | 3 Saint Elizabeth Blvd Ste 4000, O Fallon, Illinois |
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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: 1831691948
- Provider Enumeration Date: 03/05/2018
- Last Update Date: 08/03/2023
Medicare PECOS Information:
- PECOS PAC ID: 4981133675
- Enrollment ID: I20250124002122
Medical Identifiers
Medical identifiers for Reese Jerel Cooper such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1831691948 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | 7811204-2402 (Utah) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
171000000X | Military Health Care Provider | (* (Not Available)) | Primary |
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. Reese Jerel 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 |
Reese Jerel Cooper, DO 3 Saint Elizabeth Blvd Ste 4000, O Fallon, IL 62269-1284 Ph: (618) 256-9355 | Reese Jerel Cooper, DO 3 Saint Elizabeth Blvd Ste 4000, O Fallon, IL 62269-1284 Ph: (618) 256-9355 |
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