Michelle A Cooley, NP-C is a medicare enrolled "Nurse Practitioner" in Browns Valley, Minnesota. Her current practice location is
12940 Zach Rd, Browns Valley, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(182) 300-1942.
Michelle A Cooley is licensed to practice in North Dakota (license number R21329) 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 1235393315.
Provider's Profile
| Full Name | Michelle A Cooley |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Location | 12940 Zach Rd, Browns Valley, Minnesota |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1235393315
- Provider Enumeration Date: 07/17/2008
- Last Update Date: 02/18/2022
Medicare PECOS Information:
- PECOS PAC ID: 8820163819
- Enrollment ID: I20080827000127
Medical Identifiers
Medical identifiers for Michelle A Cooley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1235393315 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363L00000X | Nurse Practitioner | R21329 (North Dakota) | 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. Michelle A Cooley allows following entities to bill medicare on her behalf.
| Entity Name | Chi Health Connect At Home - Fargo |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1790377448
PECOS PAC ID: 4789870924
Enrollment ID: O20210421001810 |
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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. Michelle A 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 Address | Practice Location Address |
|---|
Michelle A Cooley, NP-C
4265 45th St S Ste 200,
Fargo, ND 58104-4309
Ph: (182) 300-1942 | Michelle A Cooley, NP-C
12940 Zach Rd,
Browns Valley, MN 56219-4018
Ph: (182) 300-1942 |
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