Shannon Nicole Cooley, PT, DPT is a medicare enrolled "Physical Therapist" physician in Frederick, Maryland. She graduated from medical school in 2022 and has 2 years of diverse experience with area of expertise as Physical Therapy. She is a member of the group practice Nirschl Orthopaedic Center For Sportsmedicine And Joint Reconstruction and her current practice location is
5223 Buckeystown Pike Ste 158, Frederick, Maryland. You can reach out to her office (for appointments etc.) via phone at
(301) 662-6790.
Shannon Nicole Cooley is licensed to practice in Maryland (license number 28996) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1437888724.
Physician's Profile
Full Name | Shannon Nicole Cooley |
---|
Gender | Female |
---|
Speciality | Physical Therapy |
---|
Experience | 2 Years |
---|
Location | 5223 Buckeystown Pike Ste 158, Frederick, Maryland |
---|
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Shannon Nicole Cooley graduated from medical school in 2022
NPI Data:
- NPI Number: 1437888724
- Provider Enumeration Date: 06/10/2022
- Last Update Date: 06/23/2022
Medicare PECOS Information:
- PECOS PAC ID: 9931589207
- Enrollment ID: I20220704000393
Medical Identifiers
Medical identifiers for Shannon Nicole Cooley such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1437888724 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208100000X | Physical Medicine & Rehabilitation | 2305215071 (Virginia) | Secondary |
225100000X | Physical Therapist | 28996 (Maryland) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Nirschl Orthopaedic Center For Sportsmedicine And Joint Reconstruction | 8729065420 | 18 |
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. Shannon Nicole Cooley allows following entities to bill medicare on her behalf.
Entity Name | Nirschl Orthopaedic Center For Sportsmedicine & Joint Reconstruction |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1053459149 PECOS PAC ID: 8729065420 Enrollment ID: O20040701000074 |
---|
Entity Name | Maryland Sportscare & Rehab Llc |
---|
Entity Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
---|
Entity Identifiers | NPI Number: 1518951995 PECOS PAC ID: 2860440427 Enrollment ID: O20150811004765 |
---|
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. Shannon Nicole Cooley 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 |
Shannon Nicole Cooley, PT, DPT 9124 Charterhouse Rd, Frederick, MD 21704-7327 Ph: (240) 446-4780 | Shannon Nicole Cooley, PT, DPT 5223 Buckeystown Pike Ste 158, Frederick, MD 21704-7535 Ph: (301) 662-6790 |
Reviews and Comments