Kaitlyn Cooper, FNP-C is a medicare enrolled "Nurse Practitioner" in Hurley, Virginia. Her current practice location is
10121 Hurley Rd., Hurley, Virginia. You can reach out to her office (for appointments etc.) via phone at
(276) 528-2133.
Kaitlyn Cooper is licensed to practice in Virginia (license number 0024189932) 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 1366295859.
Provider's Profile
Full Name | Kaitlyn Cooper |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Location | 10121 Hurley Rd., Hurley, 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: 1366295859
- Provider Enumeration Date: 04/08/2024
- Last Update Date: 06/14/2024
Medicare PECOS Information:
- PECOS PAC ID: 4385086552
- Enrollment ID: I20240521000649
Medical Identifiers
Medical identifiers for Kaitlyn Cooper such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1366295859 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363L00000X | Nurse Practitioner | 119019 (West Virginia) | Secondary |
363L00000X | Nurse Practitioner | 4018316 (Kentucky) | Secondary |
363L00000X | Nurse Practitioner | 0024189932 (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. Kaitlyn Cooper allows following entities to bill medicare on her behalf.
Entity Name | Hopkins Medical Association Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1679111504 PECOS PAC ID: 3476983040 Enrollment ID: O20200422001215 |
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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. Kaitlyn 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 |
Kaitlyn Cooper, FNP-C 10121 Hurley Rd, Hurley, VA 24614 Ph: (276) 528-2133 | Kaitlyn Cooper, FNP-C 10121 Hurley Rd., Hurley, VA 24620 Ph: (276) 528-2133 |
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