Dr Wantzy Cooper, DO - Medicare Vascular Surgery in Needles, CA

Dr Wantzy Cooper, DO is a medicare enrolled "Surgery - Vascular Surgery" physician in Needles, California. She went to College Of Osteo Med Of The Pacific At Pomona and graduated in 1996 and has 28 years of diverse experience with area of expertise as Vascular Surgery. She is a member of the group practice Community Healthcare Partner, Inc and her current practice location is 1401 Bailey Ave, Bldg 1, Needles, California. You can reach out to her office (for appointments etc.) via phone at (760) 590-0155.

Dr Wantzy Cooper is licensed to practice in Arizona (license number 005530) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1942383393.

Contact Information

Dr Wantzy Cooper, DO
1401 Bailey Ave, Bldg 1,
Needles, CA 92363-3103
(760) 590-0155
(760) 323-7134



Physician's Profile

Full NameDr Wantzy Cooper
GenderFemale
SpecialityVascular Surgery
Experience28 Years
Location1401 Bailey Ave, Needles, California
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Wantzy Cooper attended and graduated from College Of Osteo Med Of The Pacific At Pomona in 1996
  NPI Data:
  • NPI Number: 1942383393
  • Provider Enumeration Date: 10/21/2006
  • Last Update Date: 04/08/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 6002815214
  • Enrollment ID: I20110208000789

Medical Identifiers

Medical identifiers for Dr Wantzy Cooper such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1942383393NPI-NPPES
585877MedicaidAZ

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 14611 (California)Secondary
208600000XSurgery MB74255 (New Jersey)Secondary
2086S0129XSurgery - Vascular Surgery 14611 (California)Secondary
208D00000XGeneral Practice 14611 (California)Secondary
208D00000XGeneral Practice 005530 (Arizona)Secondary
2086S0129XSurgery - Vascular Surgery 005530 (Arizona)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
V A Hospice 2, IncFort mohave, AZHospice
Colorado River Medical CenterNeedles, CAHospital

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 Wantzy Cooper allows following entities to bill medicare on her behalf.
Entity NameTri-state Vascular Group Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366993818
PECOS PAC ID: 5395026827
Enrollment ID: O20161221001174

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Entity NameColorado River Primary Care Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669146536
PECOS PAC ID: 2668863200
Enrollment ID: O20240227004341

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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 Wantzy 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
Dr Wantzy Cooper, DO
Po Box 9893,
Fort Mohave, AZ 86427-9893

Ph: (760) 590-0155
Dr Wantzy Cooper, DO
1401 Bailey Ave, Bldg 1,
Needles, CA 92363-3103

Ph: (760) 590-0155

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Surgery Doctors in Needles, CA

Dr. Edward Thurston Paget, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1600 Bailey Ave, Suite 1, Needles, CA 92363
Phone: 760-326-0083    Fax: 760-326-6311

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