Kathleen K Cooper, FNP in Brooklyn, NY - Medicare Nurse Practitioner

Kathleen K Cooper, FNP is a medicare enrolled "Nurse Practitioner - Family" in Brooklyn, New York. Her current practice location is 450 Clarkson Ave # 22, Brooklyn, New York. You can reach out to her office (for appointments etc.) via phone at (631) 734-8286.

Kathleen K Cooper is licensed to practice in New York (license number 33 330164NY) 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 1558635482.

Contact Information

	Kathleen K Cooper, FNP
	450 Clarkson Ave # 22, Brooklyn, NY 11203-2012
	(631) 734-8286
	(631) 734-8286

Map and Direction

Provider's Profile

Full Name	Kathleen K Cooper
Gender	Female
Speciality	Nurse Practitioner - Family
Location	450 Clarkson Ave # 22, Brooklyn, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1558635482
Provider Enumeration Date: 02/23/2012
Last Update Date: 11/19/2015

Medicare PECOS Information:

PECOS PAC ID: 0143512459
Enrollment ID: I20160707000510

Medical Identifiers

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

Identifier	Type	State	Issuer
1558635482	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	33 330164NY (New York)	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. Kathleen K Cooper allows following entities to bill medicare on her behalf.

Entity Name	Sun River Health Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1568526838 PECOS PAC ID: 6608783568 Enrollment ID: O20040714000375

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. Kathleen K 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
Kathleen K Cooper, FNP 1869 Brentwood Rd, Brentwood, NY 11717-4625 Ph: (631) 574-2580	Kathleen K Cooper, FNP 450 Clarkson Ave # 22, Brooklyn, NY 11203-2012 Ph: (631) 734-8286

Reviews and Comments

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Kathleen K Cooper, FNP - Medicare Nurse Practitioner in Brooklyn, NY