Graham Elliot Rome Cooper, PHD in Santa Rosa, CA - Medicare Psychologist Provider

Graham Elliot Rome Cooper, PHD is a medicare enrolled "Psychologist" provider in Santa Rosa, California. His current practice location is 3554 Round Barn Blvd, Santa Rosa, California. You can reach out to his office (for appointments etc.) via phone at (707) 571-3778.

Graham Elliot Rome Cooper is licensed to practice in Washington (license number PY60923579) 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 1164066064.

Contact Information

	Graham Elliot Rome Cooper, PHD
	3554 Round Barn Blvd, Santa Rosa, CA 95403-0929
	(707) 571-3778
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Graham Elliot Rome Cooper
Gender	Male
Speciality	Psychologist
Location	3554 Round Barn Blvd, Santa Rosa, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1164066064
Provider Enumeration Date: 11/04/2019
Last Update Date: 12/30/2021

Medicare PECOS Information:

PECOS PAC ID: 5799119657
Enrollment ID: I20210309003383

Medical Identifiers

Medical identifiers for Graham Elliot Rome Cooper such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164066064	NPI	-	NPPES
PY60923579	Other	WA	PSYCHOLOGIST LICENSE
32078	Other	CA	PSYCHOLOGIST LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	PY60923579 (Washington)	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. Graham Elliot Rome Cooper allows following entities to bill medicare on his behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

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. Graham Elliot Rome 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
Graham Elliot Rome Cooper, PHD 3554 Round Barn Blvd, Santa Rosa, CA 95403-0929 Ph: (707) 571-3778	Graham Elliot Rome Cooper, PHD 3554 Round Barn Blvd, Santa Rosa, CA 95403-0929 Ph: (707) 571-3778

Reviews and Comments

Psychologist in Santa Rosa, CA

Dr. Andrew M Leeds, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1049 4th St Ste G, Santa Rosa, CA 95404 Phone: 707-579-9457 Fax: 707-579-4515
Dr. Cynthia Carole Berman, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 401 Bicentennial Way, Santa Rosa, CA 95403 Phone: 707-571-3722
James Fisher Taylor, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 401 Bicentennial Way, Santa Rosa, CA 95403 Phone: 707-571-3720
Sara Joslyn, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 825 College Ave, Santa Rosa, CA 95404 Phone: 707-545-2426
Mrs. Pamela A Boaz, PHD MFT Psychologist Medicare: Not Enrolled in Medicare Practice Location: 659 Cherry St, Santa Rosa, CA 95404 Phone: 707-526-8300 Fax: 707-526-8310
Edward A Biery, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1144 Sonoma Ave, Ste 104, Santa Rosa, CA 95405 Phone: 707-595-8680
Dr. Deborah Lynn Chiddix, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 434 Earle St, Santa Rosa, CA 95404 Phone: 707-696-6620

Graham Elliot Rome Cooper, PHD - Medicare Psychologist in Santa Rosa, CA