Carly Cooper, APRN in Lake Forest, IL - Medicare Nurse Practitioner

Carly Cooper, APRN is a medicare enrolled "Nurse Practitioner" in Lake Forest, Illinois. She graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Northwestern Medical Faculty Foundation and her current practice location is 1000 N Westmoreland Rd, Lake Forest, Illinois. You can reach out to her office (for appointments etc.) via phone at (847) 234-5600.

Carly Cooper is licensed to practice in Illinois (license number 209021184) 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 1063172617.

Contact Information

	Carly Cooper, APRN
	1000 N Westmoreland Rd, Lake Forest, IL 60045-1658
	(847) 234-5600
	Not Available

Map and Direction

Provider's Profile

Full Name	Carly Cooper
Gender	Female
Speciality	Nurse Practitioner
Experience	5 Years
Location	1000 N Westmoreland Rd, Lake Forest, Illinois
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:

Carly Cooper graduated from nursing school in 2019

NPI Data:

NPI Number: 1063172617
Provider Enumeration Date: 12/22/2021
Last Update Date: 03/31/2022

Medicare PECOS Information:

PECOS PAC ID: 0941695159
Enrollment ID: I20220324000849

Medical Identifiers

Medical identifiers for Carly Cooper such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063172617	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	209021184 (Illinois)	Secondary
363L00000X	Nurse Practitioner	209021184 (Illinois)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Northwestern Lake Forest Hospital	Lake forest, IL	Hospital
Northwestern Memorial Hospital	Chicago, IL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Northwestern Medical Faculty Foundation	4587576814	3352

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. Carly Cooper allows following entities to bill medicare on her behalf.

Entity Name	Northwestern Medical Faculty Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1346235314 PECOS PAC ID: 4587576814 Enrollment ID: O20031105000541

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. Carly 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
Carly Cooper, APRN 1000 N Westmoreland Rd # Level1, Lake Forest, IL 60045-1658 Ph: (847) 534-3278	Carly Cooper, APRN 1000 N Westmoreland Rd, Lake Forest, IL 60045-1658 Ph: (847) 234-5600

Reviews and Comments

Nurse Practitioner Nurses in Lake Forest, IL

Katie L Konopacz, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1000 N Westmoreland Rd # B, Lake Forest, IL 60045 Phone: 847-535-3278
Melissa Hilb, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 900 N Westmoreland Rd, Suite 110, Lake Forest, IL 60045 Phone: 847-295-1220 Fax: 847-295-1255
Melissa Katelyn Battista, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 555 N Sheridan Rd, Lake Forest, IL 60045 Phone: 847-735-5050 Fax: 847-735-6284
Armando Comas, APRN, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1000 N Westmoreland Rd, Lake Forest, IL 60045 Phone: 847-535-6150 Fax: 847-535-7801
Mrs. Cynthia H. Leaker, MSN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 660 N Westmoreland Rd, Lake Forest Hospital Emergency Department, Lake Forest, IL 60045 Phone: 312-259-9943
Andrea C Komsri, APRN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1000 N Westmoreland Rd, Pavilion B, Level 1, Lake Forest, IL 60045 Phone: 847-534-3278

Carly Cooper, APRN - Medicare Nurse Practitioner in Lake Forest, IL