Krysta Mychal Cooper, APRN, CNP is a medicare enrolled "Nurse Practitioner - Family" physician in Jamestown, Ohio. Her current practice location is
4790 Cottonville Rd, Jamestown, Ohio. You can reach out to her office (for appointments etc.) via phone at
(937) 675-2870.
Krysta Mychal Cooper is licensed to practice in Ohio (license number APRN.CNP.023461) 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 1346728730.
Physician's Profile
| Full Name | Krysta Mychal Cooper |
|---|
| Gender | Female |
|---|
| Speciality | Nurse Practitioner - Family |
|---|
| Location | 4790 Cottonville Rd, Jamestown, Ohio |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1346728730
- Provider Enumeration Date: 07/30/2018
- Last Update Date: 12/02/2020
Medicare PECOS Information:
- PECOS PAC ID: 6406109511
- Enrollment ID: I20181018002725
Medical Identifiers
Medical identifiers for Krysta Mychal Cooper such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1346728730 | NPI | - | NPPES |
| 0315026 | Medicaid | OH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | LE-00024808 (Ohio) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | APRN.CNP.023461 (Ohio) | 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. Krysta Mychal Cooper allows following entities to bill medicare on her behalf.
| Entity Name | Alliance Physicians Inc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1437125572
PECOS PAC ID: 0840104360
Enrollment ID: O20031118000529 |
|---|
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. Krysta 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 |
|---|
Krysta Mychal Cooper, APRN, CNP
4790 Cottonville Rd,
Jamestown, OH 45335-1518
Ph: (937) 675-2870 | Krysta Mychal Cooper, APRN, CNP
4790 Cottonville Rd,
Jamestown, OH 45335-1518
Ph: (937) 675-2870 |
Reviews and Comments