Nan W Cooley, PSYD in Athens, GA - Medicare Psychologist Provider

Nan W Cooley, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Athens, Georgia. Her current practice location is 2085 S Milledge Ave, Suite 1, Athens, Georgia. You can reach out to her office (for appointments etc.) via phone at (706) 369-6363.

Nan W Cooley is licensed to practice in Georgia (license number PSY003425) 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 1295999050.

Contact Information

	Nan W Cooley, PSYD
	2085 S Milledge Ave, Suite 1, Athens, GA 30605-1655
	(706) 369-6363
	(706) 369-6239

Map and Direction

Healthcare Provider's Profile

Full Name	Nan W Cooley
Gender	Female
Speciality	Psychologist - Clinical
Location	2085 S Milledge Ave, Athens, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1295999050
Provider Enumeration Date: 07/10/2008
Last Update Date: 12/14/2010

Medicare PECOS Information:

PECOS PAC ID: 6901094614
Enrollment ID: I20191120002252

Medical Identifiers

Medical identifiers for Nan W Cooley such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1295999050	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	PSY003425 (Georgia)	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. Nan W Cooley allows following entities to bill medicare on her behalf.

Entity Name	Little Tree Psychological Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750930889 PECOS PAC ID: 1557793155 Enrollment ID: O20191120002142

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. Nan W 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
Nan W Cooley, PSYD 2085 S Milledge Ave, Suite 1, Athens, GA 30605-1655 Ph: (706) 369-6363	Nan W Cooley, PSYD 2085 S Milledge Ave, Suite 1, Athens, GA 30605-1655 Ph: (706) 369-6363

Reviews and Comments

Psychologist in Athens, GA

Dr. Sylvia F. Knight, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 520 Kings Rd, Athens, GA 30606 Phone: 706-546-0257 Fax: 706-548-5609
Dr. Anne W. Reynolds, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1751 S Lumpkin St, Athens, GA 30606 Phone: 706-546-5799 Fax: 706-354-8904
Ann Weitzman-swain, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1 Huntington Rd, Suite 801, Athens, GA 30606 Phone: 706-552-0450 Fax: 706-552-0450
David Campbell, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 55 Carlton St, Athens, GA 30602 Phone: 706-542-8621 Fax: 706-583-0217
Dr. Sandrine M Bosshardt, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 55 Carlton St, Athens, GA 30602 Phone: 865-804-0667
Emily Mouilso, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: Uga Psychology Department, 125 Baldwin Street, Athens, GA 30602 Phone: 706-542-3032
Jaclyn Peters, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1090 Founders Blvd, Suite B, Athens, GA 30606 Phone: 706-548-8697 Fax: 706-548-8698

Nan W Cooley, PSYD - Medicare Psychologist in Athens, GA