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Deidre Monique Cooperwood , PA-C

Physician Assistant β€’ Dover Afb, DE

Active NPI 1083017362 Individual Practitioner Female Practitioner
Practice location in NPPES

300 Tuskegee Blvd
Dover Afb, DE 199025003

Call 3026772600 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

300 Tuskegee Blvd

Dover Afb, DE 199025003

Telephone 3026772600
Organization at the Same NPPES Address or Phone
436th Medgrp-Dover Facility NPI 1437112646

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021–2025.

Guide: How to read an Open Payments record

NPI first issued

2014

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Deidre Cooperwood has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Deidre Cooperwood as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Dover Afb and Delaware

4 active clinicians are listed under Physician Assistant with a practice address in Dover Afb, DE (695 in Delaware).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2022-07-25
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Delaware State Medical Licensing Board.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

ORDER AND REFERRING ONLY - PHYSICIAN ASSISTANT

Medicare Enrollment ID

I20200528001762

Enrollment State Jurisdiction

FL

PECOS Control ID

3870914922

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

1 listed
Dr. John Rockwell , MD

Preventive Medicine - Aerospace Medicine

NPI 1356427058

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Business Mailing Address July 25, 2022

Registered at 300 TUSKEGEE BLVD, DOVER AFB, DE 199025003 (Tel: 3026772600)

πŸ“
Updated Practice Location January 27, 2022

Registered at 300 TUSKEGEE BLVD, DOVER AFB, DE 199025003 (Tel: 3026772600)

βœ…
NPI Profile Active October 01, 2014

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) October 01, 2014

Registered at 1515 TRUEMPER ST, BLDG. 6612, LACKLAND AFB, TX 782365583 (Tel: 2106715535)

πŸ“
Business Mailing Address (Initial Record) October 01, 2014

Registered at 1515 TRUEMPER ST, BLDG. 6612, LACKLAND AFB, TX 782365583 (Tel: 2106715535)

πŸ‘€
Provider Name / Credentials (Initial Record) October 01, 2014

Recorded as DEIDRE COOPERWOOD, PA-C

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 01, 2014

Physician Assistant

🟒
Initial NPI Registration & Enumeration October 01, 2014

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1083017362
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 01, 2014
Last Update: July 25, 2022
Sole Proprietor: No

Mailing Address

300 Tuskegee Blvd

Dover Afb, DE 199025003

Phone: 3026772600

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.