Kelly M Cooper, is a medicare enrolled "Optometrist" provider in Saint Michaels, Maryland. She graduated from medical school in 2020 and has 4 years of diverse experience with area of expertise as Optometry. Her current practice location is
1013 S Talbot St, Saint Michaels, Maryland. You can reach out to her office (for appointments etc.) via phone at
(954) 298-9913.
Kelly M Cooper is licensed to practice in Maryland (license number TA2775) 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 1124628300.
Healthcare Provider's Profile
Full Name | Kelly M Cooper |
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Gender | Female |
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Speciality | Optometry |
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Experience | 4 Years |
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Location | 1013 S Talbot St, Saint Michaels, Maryland |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Kelly M Cooper graduated from medical school in 2020
NPI Data:
- NPI Number: 1124628300
- Provider Enumeration Date: 10/28/2020
- Last Update Date: 06/05/2023
Medicare PECOS Information:
- PECOS PAC ID: 2163832254
- Enrollment ID: I20201030000951
Medical Identifiers
Medical identifiers for Kelly M Cooper such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1124628300 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
152W00000X | Optometrist | TA2775 (Maryland) | 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. Kelly M Cooper allows following entities to bill medicare on her behalf.
Provider Name | Route 33 Eye Care & Optical Boutique Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1932801362 PECOS PAC ID: 4981056637 Enrollment ID: O20240117004671 |
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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. Kelly M 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 |
Kelly M Cooper, 510 Tenant Cir, Saint Michaels, MD 21663-2873 Ph: () - | Kelly M Cooper, 1013 S Talbot St, Saint Michaels, MD 21663-2637 Ph: (954) 298-9913 |
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