Dr Jac Alan Cooper Jr, MD - Medicare Colorectal Surgery (proctology) in Springfield, IL

Dr Jac Alan Cooper Jr, MD is a medicare enrolled "Colon & Rectal Surgery" physician in Springfield, Illinois. He went to Indiana University School Of Medicine and graduated in 2012 and has 12 years of diverse experience with area of expertise as Colorectal Surgery (proctology). He is a member of the group practice Springfield Clinic Llp and his current practice location is 900 N 1st St, Springfield, Illinois. You can reach out to his office (for appointments etc.) via phone at (217) 528-7541.

Dr Jac Alan Cooper Jr is licensed to practice in Illinois (license number 036153198) 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 1144583287.

Contact Information

Dr Jac Alan Cooper Jr, MD
900 N 1st St,
Springfield, IL 62702-3749
(217) 528-7541
Not Available



Physician's Profile

Full NameDr Jac Alan Cooper Jr
GenderMale
SpecialityColorectal Surgery (proctology)
Experience12 Years
Location900 N 1st St, Springfield, Illinois
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:
  • Dr Jac Alan Cooper Jr attended and graduated from Indiana University School Of Medicine in 2012
  NPI Data:
  • NPI Number: 1144583287
  • Provider Enumeration Date: 06/22/2012
  • Last Update Date: 03/03/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 0749429579
  • Enrollment ID: I20200729002586

Medical Identifiers

Medical identifiers for Dr Jac Alan Cooper Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1144583287NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery 125.061379 (Illinois)Secondary
208600000XSurgery 01080567A (Indiana)Secondary
208C00000XColon & Rectal Surgery 01080567A (Indiana)Secondary
208C00000XColon & Rectal Surgery 036153198 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Memorial Medical CenterSpringfield, ILHospital
St Johns HospitalSpringfield, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Springfield Clinic Llp0547166076669

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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. Dr Jac Alan Cooper Jr allows following entities to bill medicare on his behalf.
Entity NameSpringfield Clinic Llp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780638478
PECOS PAC ID: 0547166076
Enrollment ID: O20040331000826

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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. Dr Jac Alan Cooper Jr 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
Dr Jac Alan Cooper Jr, MD
Po Box 19248,
Springfield, IL 62794-9248

Ph: (217) 528-7541
Dr Jac Alan Cooper Jr, MD
900 N 1st St,
Springfield, IL 62702-3749

Ph: (217) 528-7541

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