Mrs Lily Beth Cooper, AGACNP-BC in San Jose, CA

Mrs Lily Beth Cooper, AGACNP-BC is a medicare enrolled "Nurse Practitioner - Acute Care" in San Jose, California. Her current practice location is 225 N Jackson Ave, San Jose, California. You can reach out to her office (for appointments etc.) via phone at (224) 723-0339.

Mrs Lily Beth Cooper is licensed to practice in California (license number 95022518) 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 1922729730.

Contact Information

	Mrs Lily Beth Cooper, AGACNP-BC
	225 N Jackson Ave, San Jose, CA 95116-1603
	(224) 723-0339
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Lily Beth Cooper
Gender	Female
Speciality	Nurse Practitioner - Acute Care
Location	225 N Jackson Ave, San Jose, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1922729730
Provider Enumeration Date: 09/09/2022
Last Update Date: 04/17/2023

Medicare PECOS Information:

PECOS PAC ID: 0345611406
Enrollment ID: I20230602000355

Medical Identifiers

Medical identifiers for Mrs Lily Beth Cooper such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1922729730	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	95022518 (California)	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 Lily Beth Cooper allows following entities to bill medicare on her behalf.

Entity Name	Neurocritical Care And Stroke Of Arizona Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649561580 PECOS PAC ID: 0143493882 Enrollment ID: O20111025000861

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 Lily Beth 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
Mrs Lily Beth Cooper, AGACNP-BC 1389 Stockbridge Dr, San Jose, CA 95130-1254 Ph: (224) 723-0339	Mrs Lily Beth Cooper, AGACNP-BC 225 N Jackson Ave, San Jose, CA 95116-1603 Ph: (224) 723-0339

Reviews and Comments

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Mrs Lily Beth Cooper, AGACNP-BC - Medicare Nurse Practitioner in San Jose, CA