Molly Dee Cooper, is a medicare enrolled "Audiologist" provider in San Rafael, California. Her current practice location is
1600 Los Gamos Dr Ste 120, San Rafael, California. You can reach out to her office (for appointments etc.) via phone at
(415) 209-2444.
Molly Dee Cooper is licensed to practice in * (Not Available) (license number ) 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 1871260067.
Healthcare Provider's Profile
| Full Name | Molly Dee Cooper |
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| Gender | Female |
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| Speciality | Audiologist |
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| Location | 1600 Los Gamos Dr Ste 120, San Rafael, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1871260067
- Provider Enumeration Date: 08/25/2021
- Last Update Date: 12/28/2021
Medicare PECOS Information:
- PECOS PAC ID: 7113318619
- Enrollment ID: I20211216001909
Medical Identifiers
Medical identifiers for Molly Dee Cooper such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1871260067 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 231H00000X | Audiologist | (* (Not Available)) | 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. Molly Dee Cooper allows following entities to bill medicare on her behalf.
| Provider Name | Permanente Medical Group Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1073606299
PECOS PAC ID: 8921910225
Enrollment ID: O20031104000710 |
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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. Molly Dee 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 |
|---|
Molly Dee Cooper,
4000 Dyer Rd,
Livermore, CA 94551-7489
Ph: (925) 819-6836 | Molly Dee Cooper,
1600 Los Gamos Dr Ste 120,
San Rafael, CA 94903-1807
Ph: (415) 209-2444 |
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