Teresa Louise Cooper, is a medicare enrolled "Social Worker - Clinical" provider in Hampton, Virginia. Her current practice location is
2 Madrone Pl, Hampton, Virginia. You can reach out to her office (for appointments etc.) via phone at
(757) 604-5844.
Teresa Louise Cooper is licensed to practice in Virginia (license number 0904013176) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1184377681.
Healthcare Provider's Profile
Full Name | Teresa Louise Cooper |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 2 Madrone Pl, Hampton, Virginia |
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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: 1184377681
- Provider Enumeration Date: 02/03/2022
- Last Update Date: 02/03/2022
Medicare PECOS Information:
- PECOS PAC ID: 2163889684
- Enrollment ID: I20230526001863
Medical Identifiers
Medical identifiers for Teresa Louise Cooper such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1184377681 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 0710103400 (Virginia) | Secondary |
1041C0700X | Social Worker - Clinical | 0904013176 (Virginia) | 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. Teresa Louise Cooper allows following entities to bill medicare on her behalf.
Entity Name | Colonial Behavioral Health |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1760565915 PECOS PAC ID: 7012010549 Enrollment ID: O20070716000744 |
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Entity Name | Sondermind Provider Network Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20210331001144 |
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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. Teresa Louise 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 |
Teresa Louise Cooper, 2 Madrone Pl, Hampton, VA 23666-6816 Ph: (757) 604-5844 | Teresa Louise Cooper, 2 Madrone Pl, Hampton, VA 23666-6816 Ph: (757) 604-5844 |
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