Jennifer L Cool, M.D.
Individual provider Active NPI Internal Medicine Physician · Sun Lakes, AZ
NPI 1528067477 · NPPES record last updated Dec 16, 2016
Key facts
- NPI
- 1528067477
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 31073 (AZ)
- Practice address
- 10450 E Riggs Rd
Suite 110
Sun Lakes, AZ 85248-7758 - Phone
- (480) 895-7600
- Fax
- (480) 895-7601
- NPI assigned
- Jul 21, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Creighton University School of Medicine, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Lakeside Internal Medicine, PLLC
Practice addresses (Care Compare)
10450 E Riggs Rd
Suite 110
Sun Lakes, AZ 85248-7759
Phone 4808957600212
Hospital & facility affiliations
- Dignity Health at Home
- Haven Home Health Care
- Victory Home Care Agency
- Summit Home Health LLC
- Chandler Regional Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20031119000529 | AZ | Practitioner - Internal Medicine | 9234043589 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31073 | AZ | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Cardiac Specialists, Chartered | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 31073 | AZ | Yes |
Addresses
Primary practice location
10450 E Riggs Rd
Suite 110
Sun Lakes, AZ 85248-7758
Mailing address
10450 E Riggs Rd
Suite 110
Sun Lakes, AZ 85248-7758
Phone (480) 895-7600
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 763640 | Medicaid | AZ |
Other providers in Sun Lakes, AZ
- Jayla Brown
- Carl T. Hayden Veterans Affairs
- Joshua Castillo
- Charles Richard Close
- Virginia Valerie Cook
- Patricia Jo Curran
- Annie Dai
- Dlugas Chiropractic, PLLC
- Caitlin Dlugas
- Donald J Boles Jr MD PC
All providers in Sun Lakes, AZ · Internal Medicine Physician in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 16, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.