Kathy Nicole Cooley, PA - Medicare Physician Assistant in Eastpointe, MI

Kathy Nicole Cooley, PA is a medicare enrolled "Physician Assistant" in Eastpointe, Michigan. She graduated from nursing school in 2005 and has 19 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice City Medical Pc and her current practice location is 21409 Kelly Rd, Suite 400, Eastpointe, Michigan. You can reach out to her office (for appointments etc.) via phone at (586) 777-0630.

Kathy Nicole Cooley is licensed to practice in Michigan (license number 5601004702) 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 1710176946.

Contact Information

Kathy Nicole Cooley, PA
21409 Kelly Rd, Suite 400,
Eastpointe, MI 48021-3264
(586) 777-0630
(586) 777-0631

Map and Direction




Provider's Profile

Full NameKathy Nicole Cooley
GenderFemale
SpecialityPhysician Assistant
Experience19 Years
Location21409 Kelly Rd, Eastpointe, Michigan
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kathy Nicole Cooley graduated from nursing school in 2005
  NPI Data:
  • NPI Number: 1710176946
  • Provider Enumeration Date: 10/24/2007
  • Last Update Date: 08/06/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 7214109297
  • Enrollment ID: I20111017000766

Medical Identifiers

Medical identifiers for Kathy Nicole Cooley such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1710176946NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 5601004702 (Michigan)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Surgeons Choice Medical CenterSouthfield, MIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
City Medical Pc67097781457

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. Kathy Nicole Cooley 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 AddressPractice Location Address
Kathy Nicole Cooley, PA
36115 Schoolcraft Rd,
Livonia, MI 48150-1216

Ph: (734) 464-0887
Kathy Nicole Cooley, PA
21409 Kelly Rd, Suite 400,
Eastpointe, MI 48021-3264

Ph: (586) 777-0630

Reviews and Comments


Physician Assistant Nurses in Eastpointe, MI

Ms. Yvonne Wright, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 17200 E 10 Mile Rd, Suite 165, Eastpointe, MI 48021
Phone: 586-573-6400    
Mr. Brody A Webster, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 22471 Gratiot Ave, Eastpointe, MI 48021
Phone: 586-218-7774    
Megan Catherine Beckerich, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 19070 E 10 Mile Rd, Eastpointe, MI 48021
Phone: 313-923-7501    
Mrs. Ethel Mbombow, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 21409 Kelly Rd, Suite 400, Eastpointe, MI 48021
Phone: 586-777-0630    Fax: 586-777-0631
Mrs. Carol P Mott, P.A.-C.
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 24901 Kelly Rd, Eastpointe, MI 48021
Phone: 586-772-9055    Fax: 586-772-0543

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.