Kevin Charles Cooper, AGACNP is a medicare enrolled "Surgery - Surgical Critical Care" in Rochester, New York. He graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice University Cardiothoracic Surgery Group and his current practice location is
601 Elmwood Ave, Rochester, New York. You can reach out to his office (for appointments etc.) via phone at
(585) 275-2100.
Kevin Charles Cooper is licensed to practice in New York (license number 431186) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1366951998.
Provider's Profile
| Full Name | Kevin Charles Cooper |
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| Gender | Male |
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| Speciality | Nurse Practitioner |
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| Experience | 7 Years |
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| Location | 601 Elmwood Ave, Rochester, New York |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Kevin Charles Cooper graduated from nursing school in 2017
NPI Data:
- NPI Number: 1366951998
- Provider Enumeration Date: 09/27/2017
- Last Update Date: 06/29/2023
Medicare PECOS Information:
- PECOS PAC ID: 2264794155
- Enrollment ID: I20180312001374
Medical Identifiers
Medical identifiers for Kevin Charles Cooper such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1366951998 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363L00000X | Nurse Practitioner | 431186 (New York) | Secondary |
| 2086S0102X | Surgery - Surgical Critical Care | 431186 (New York) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| University Cardiothoracic Surgery Group | 5890768188 | 20 |
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. Kevin Charles Cooper allows following entities to bill medicare on his behalf.
| Entity Name | University Cardiothoracic Surgery Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1154342285
PECOS PAC ID: 5890768188
Enrollment ID: O20040816000492 |
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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. Kevin Charles 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 |
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Kevin Charles Cooper, AGACNP
83 Durand Dr,
Rochester, NY 14622-1232
Ph: (315) 558-1556 | Kevin Charles Cooper, AGACNP
601 Elmwood Ave,
Rochester, NY 14642-0001
Ph: (585) 275-2100 |
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