Mrs Mallory Shea Cooper Flanagan, FNP-C in Beaumont, TX

Mrs Mallory Shea Cooper Flanagan, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Beaumont, Texas. Her current practice location is 2965 Harrison St Ste 313, Beaumont, Texas. You can reach out to her office (for appointments etc.) via phone at (409) 838-4472.

Mrs Mallory Shea Cooper Flanagan is licensed to practice in Texas (license number 1113504) 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 1972204782.

Contact Information

	Mrs Mallory Shea Cooper Flanagan, FNP-C
	2965 Harrison St Ste 313, Beaumont, TX 77702-1113
	(409) 838-4472
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Mallory Shea Cooper Flanagan
Gender	Female
Speciality	Nurse Practitioner - Family
Location	2965 Harrison St Ste 313, Beaumont, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1972204782
Provider Enumeration Date: 03/17/2023
Last Update Date: 06/01/2023

Medicare PECOS Information:

PECOS PAC ID: 2860837655
Enrollment ID: I20240304000109

Medical Identifiers

Medical identifiers for Mrs Mallory Shea Cooper Flanagan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1972204782	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	860470 (Texas)	Secondary
363LF0000X	Nurse Practitioner - Family	1113504 (Texas)	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. Mrs Mallory Shea Cooper Flanagan allows following entities to bill medicare on her behalf.

Entity Name	Maxie C Sprott Ii Md Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1326134594 PECOS PAC ID: 6800980525 Enrollment ID: O20090202000108

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. Mrs Mallory Shea Cooper Flanagan 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
Mrs Mallory Shea Cooper Flanagan, FNP-C 6090 Navajo Trl, Beaumont, TX 77708-3621 Ph: (409) 679-7029	Mrs Mallory Shea Cooper Flanagan, FNP-C 2965 Harrison St Ste 313, Beaumont, TX 77702-1113 Ph: (409) 838-4472

Reviews and Comments

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Mrs Mallory Shea Cooper Flanagan, FNP-C - Medicare Nurse Practitioner in Beaumont, TX