Crystal Ann Cooper, APRN in Gray, KY - Medicare Nurse Practitioner

Crystal Ann Cooper, APRN is a medicare enrolled "Nurse Practitioner - Family" in Gray, Kentucky. Her current practice location is 39 Cumberland Gap Plz, Gray, Kentucky. You can reach out to her office (for appointments etc.) via phone at (606) 526-9005.

Crystal Ann Cooper is licensed to practice in Tennessee (license number 19111) 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 1699029462.

Contact Information

	Crystal Ann Cooper, APRN
	39 Cumberland Gap Plz, Gray, KY 40734-4536
	(606) 526-9005
	(606) 526-8607

Map and Direction

Provider's Profile

Full Name	Crystal Ann Cooper
Gender	Female
Speciality	Nurse Practitioner - Family
Location	39 Cumberland Gap Plz, Gray, Kentucky
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1699029462
Provider Enumeration Date: 11/01/2012
Last Update Date: 05/25/2022

Medicare PECOS Information:

PECOS PAC ID: 6002060100
Enrollment ID: I20190730004023

Medical Identifiers

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

Identifier	Type	State	Issuer
1699029462	NPI	-	NPPES
Q007160	Medicaid	TN
7100225480	Medicaid	KY
K068550	Other	KY	MEDICARE PTAN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	3007739 (Kentucky)	Secondary
363LF0000X	Nurse Practitioner - Family	19111 (Tennessee)	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. Crystal Ann Cooper allows following entities to bill medicare on her behalf.

Entity Name	Genesis Eldercare Physician Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1790188076 PECOS PAC ID: 9830002534 Enrollment ID: O20150617002292

Entity Name	Gps Physician Group, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881109452 PECOS PAC ID: 9739447400 Enrollment ID: O20180613000611

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. Crystal Ann 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
Crystal Ann Cooper, APRN Po Box 1325, Corbin, KY 40702-1325 Ph: (606) 526-8131	Crystal Ann Cooper, APRN 39 Cumberland Gap Plz, Gray, KY 40734-4536 Ph: (606) 526-9005

Reviews and Comments

Nurse Practitioner Nurses in Gray, KY

Ms. Tammy L Freeman, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10755 N Us Highway 25e, Gray, KY 40734 Phone: 606-258-8050 Fax: 606-258-8994
Natasha Garrison, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3191 Ky 1232, Gray, KY 40734 Phone: 606-260-2246
Mrs. Edna Eugenia Stewart, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 39 Cumberland Gap Plaza, Gray, KY 40734 Phone: 606-526-9005 Fax: 606-526-8606
Mr. Vernon Eugene Taylor Jr., APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 39 Cumberland Gap Plz, Gray, KY 40734 Phone: 606-526-9005 Fax: 606-526-8607
Mrs. Mary Beth Lopez, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 39 Cumberland Gap Plz, Gray, KY 40734 Phone: 606-526-9005 Fax: 606-526-8607
Mrs. Rita Carol Gilbert, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 39 Cumberland Gap Plz, Gray, KY 40734 Phone: 606-275-3415
Loretta Sue Wilson, N.P Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 39 Cumberland Gap Plz, Gray, KY 40734 Phone: 606-526-9005 Fax: 606-526-8606

Crystal Ann Cooper, APRN - Medicare Nurse Practitioner in Gray, KY