Mychal Cooper, is a medicare enrolled "Social Worker - Clinical" provider in Atlanta, Georgia. His current practice location is
2001 Martin Luther King Jr Dr Sw Ste 402, Atlanta, Georgia. You can reach out to his office (for appointments etc.) via phone at
(270) 312-5386.
Mychal Cooper is licensed to practice in Georgia (license number CSW006928) 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 1881940559.
Healthcare Provider's Profile
Full Name | Mychal Cooper |
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Gender | Male |
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Speciality | Social Worker - Clinical |
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Location | 2001 Martin Luther King Jr Dr Sw Ste 402, Atlanta, Georgia |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1881940559
- Provider Enumeration Date: 07/31/2012
- Last Update Date: 04/27/2021
Medicare PECOS Information:
- PECOS PAC ID: 6103239264
- Enrollment ID: I20210111001560
Medical Identifiers
Medical identifiers for Mychal Cooper such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1881940559 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | CSW006928 (Georgia) | 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. Mychal Cooper allows following entities to bill medicare on his behalf.
Entity Name | Grow Healthcare Group Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220315000829 |
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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. Mychal 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 |
Mychal Cooper, 441 Walnut Creek Dr, Stockbridge, GA 30281-5878 Ph: (270) 312-5386 | Mychal Cooper, 2001 Martin Luther King Jr Dr Sw Ste 402, Atlanta, GA 30310-5802 Ph: (270) 312-5386 |
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