Katelin Cooper, in Fayetteville, AR - Medicare Nurse Practitioner

Katelin Cooper, is a medicare enrolled "Nurse Practitioner - Family" in Fayetteville, Arkansas. Her current practice location is 1771 E Stearns St, Fayetteville, Arkansas. You can reach out to her office (for appointments etc.) via phone at (479) 879-0774.

Katelin Cooper is licensed to practice in Arkansas (license number A004572) 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 1245603273.

Contact Information

	Katelin Cooper,
	1771 E Stearns St, Fayetteville, AR 72703-5055
	(479) 879-0774
	Not Available

Map and Direction

Provider's Profile

Full Name	Katelin Cooper
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1771 E Stearns St, Fayetteville, Arkansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1245603273
Provider Enumeration Date: 11/13/2015
Last Update Date: 12/13/2016

Medicare PECOS Information:

PECOS PAC ID: 8628357647
Enrollment ID: I20170425002204

Medical Identifiers

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

Identifier	Type	State	Issuer
1245603273	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	A004572 (Arkansas)	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. Katelin Cooper allows following entities to bill medicare on her behalf.

Entity Name	Ideal Option Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1457788275 PECOS PAC ID: 6709013105 Enrollment ID: O20200220002283

Entity Name	Ideal Telemedicine Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1346754868 PECOS PAC ID: 2860726221 Enrollment ID: O20200311000756

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. Katelin 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
Katelin Cooper, 1907 W Arrowhead St, Fayetteville, AR 72701-6738 Ph: (479) 879-2858	Katelin Cooper, 1771 E Stearns St, Fayetteville, AR 72703-5055 Ph: (479) 879-0774

Reviews and Comments

Nurse Practitioner Nurses in Fayetteville, AR

Michele L Griffin, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1100 N College Ave, Fayetteville, AR 72703 Phone: 641-780-8696
Durinda Pena, A.P.N. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3232 N North Hills Blvd., Fayetteville, AR 72703 Phone: 479-587-1700 Fax: 479-587-1366
Mrs. Diane H. Morrow, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2630 E Citizens Dr Ste 13, Fayetteville, AR 72703 Phone: 479-571-6000
Colby Hines, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1100 N College Ave, Fayetteville, AR 72703 Phone: 479-443-4301
Elizabeth Ann-grace Burns, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3344 N Futrall Dr, Fayetteville, AR 72703 Phone: 479-521-8200 Fax: 479-582-7329
Julia Marsh, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 180 E Sunbridge Dr, Fayetteville, AR 72703 Phone: 479-587-5805 Fax: 479-659-7930
Miss Sarah Anne Campbell, DNP, AGAC-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3211 N Northhills Blvd, Fayetteville, AR 72703 Phone: 479-463-8740

Katelin Cooper, - Medicare Nurse Practitioner in Fayetteville, AR