Mallory Christine Cooper, in Auburn, ME - Medicare Speech-Language Pathologist Provider

Mallory Christine Cooper, is a medicare enrolled "Speech-language Pathologist" provider in Auburn, Maine. Her current practice location is 589 Minot Ave, Auburn, Maine. You can reach out to her office (for appointments etc.) via phone at (207) 443-3341.

Mallory Christine Cooper is licensed to practice in Maine (license number SP3893) 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 1033800701.

Contact Information

	Mallory Christine Cooper,
	589 Minot Ave, Auburn, ME 04210-4032
	(207) 443-3341
	(207) 777-1205

Map and Direction

Healthcare Provider's Profile

Full Name	Mallory Christine Cooper
Gender	Female
Speciality	Speech-language Pathologist
Location	589 Minot Ave, Auburn, Maine
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1033800701
Provider Enumeration Date: 05/15/2023
Last Update Date: 05/16/2023

Medicare PECOS Information:

PECOS PAC ID: 2567902588
Enrollment ID: I20240905001117

Medical Identifiers

Medical identifiers for Mallory Christine Cooper such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1033800701	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	(Illinois)	Secondary
235Z00000X	Speech-language Pathologist	SP3893 (Maine)	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. Mallory Christine Cooper allows following entities to bill medicare on her behalf.

Provider Name	Pine Tree Society Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1124032347 PECOS PAC ID: 8729028998 Enrollment ID: O20050506000227

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. Mallory Christine 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
Mallory Christine Cooper, 905 1/2 N Randolph St, Champaign, IL 61820-2938 Ph: (217) 620-2950	Mallory Christine Cooper, 589 Minot Ave, Auburn, ME 04210-4032 Ph: (207) 443-3341

Reviews and Comments

Speech-Language Pathologist in Auburn, ME

Alyssa Rose Schaff, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 415 Rodman Rd, Auburn, ME 04210 Phone: 207-376-3022
Lori Groves, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 415 Rodman Rd, Auburn, ME 04210 Phone: 207-376-3022 Fax: 207-333-3501
Kate Bridgham, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 415 Rodman Rd, Auburn, ME 04210 Phone: 207-376-3022
Johnna Charlton, MA CF-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 730 Center St Ste 9, Auburn, ME 04210 Phone: 207-783-3450
Miss Danielle Claire Gagne, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 56 Mayfield Rd, Auburn, ME 04210 Phone: 207-312-3674
Mrs. Gwyneth Peacock, MS CCC-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 440 Minot Ave, Auburn, ME 04210 Phone: 207-784-3573

Mallory Christine Cooper, - Medicare Speech-Language Pathologist in Auburn, ME