Charles Marcus Cooper, PHD - Medicare Psychologist in Johnson City, TN

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Charles Marcus Cooper, PHD is a medicare enrolled "Psychologist" provider in Johnson City, Tennessee. He went to University Of South Carolina School Of Medicine and graduated in 1984 and has 41 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice Specialists In Pain Management, Pllc Dba Spine And Pain Associates and his current practice location is 101 Med Tech Pkwy, Johnson City, Tennessee. You can reach out to his office (for appointments etc.) via phone at (423) 232-6120.

Charles Marcus Cooper is licensed to practice in Tennessee (license number 1084) 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 1699703835.

Contact Information

Charles Marcus Cooper, PHD
101 Med Tech Pkwy,
Johnson City, TN 37604-4007
(423) 232-6120
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameCharles Marcus Cooper
GenderMale
SpecialityClinical Psychologist
Experience41 Years
Location101 Med Tech Pkwy, Johnson City, Tennessee
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:
  • Charles Marcus Cooper attended and graduated from University Of South Carolina School Of Medicine in 1984
  NPI Data:
  • NPI Number: 1699703835
  • Provider Enumeration Date: 06/28/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 4981891041
  • Enrollment ID: I20101215000529

Medical Identifiers

Medical identifiers for Charles Marcus Cooper such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1699703835NPI-NPPES
3584891MedicaidTN
7241087OtherTNAETNA
186690OtherTNANTHEM (KPT)
TN0107OtherTNJOHN DEERE
14722OtherTNCARITEN
186693OtherTNANTHEM JC
4010675OtherTNBLUE CROSS (MENTAL HEALTH
4104023OtherTNBLUE CROSS (MEDICAL)

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103T00000XPsychologist 1084 (Tennessee)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Specialists In Pain Management, Pllc Dba Spine And Pain Associates135525365932

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. Charles Marcus Cooper allows following entities to bill medicare on his behalf.
Entity NamePain Medicine Associates, P.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477594364
PECOS PAC ID: 6901702216
Enrollment ID: O20040907001347
Entity NameSpecialists In Pain Management, Pllc Dba Spine & Pain Associates
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447203922
PECOS PAC ID: 1355253659
Enrollment ID: O20041022000859

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. Charles Marcus 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 AddressPractice Location Address
Charles Marcus Cooper, PHD
101 Med Tech Pkwy,
Johnson City, TN 37604-4007

Ph: (423) 232-6120		Charles Marcus Cooper, PHD
101 Med Tech Pkwy,
Johnson City, TN 37604-4007

Ph: (423) 232-6120

Reviews and Comments


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Martha M. Kennon, PH.D.
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Dr. Steven L Gray, PSY.D.
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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.