Tracy Marie Cooper, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Fox Lake, Illinois. She graduated from medical school in 2022 and has 3 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Bailey Behavioral Health Llc and her current practice location is
34 W Grand Ave Ste 101, Fox Lake, Illinois. You can reach out to her office (for appointments etc.) via phone at
(585) 957-3981.
Tracy Marie Cooper is licensed to practice in Illinois (license number 149.027850) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1447615729.
Healthcare Provider's Profile
| Full Name | Tracy Marie Cooper |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 3 Years |
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| Location | 34 W Grand Ave Ste 101, Fox Lake, Illinois |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Tracy Marie Cooper graduated from medical school in 2022
NPI Data:
- NPI Number: 1447615729
- Provider Enumeration Date: 12/30/2015
- Last Update Date: 10/03/2024
Medicare PECOS Information:
- PECOS PAC ID: 0244761708
- Enrollment ID: I20241118002483
Medical Identifiers
Medical identifiers for Tracy Marie Cooper such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1447615729 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 1041C0700X | Social Worker - Clinical | 149.027850 (Illinois) | Primary |
| 104100000X | Social Worker | (* (Not Available)) | Secondary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Bailey Behavioral Health Llc | 0547681058 | 3 |
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. Tracy Marie Cooper allows following entities to bill medicare on her behalf.
| Entity Name | Bailey Behavioral Health Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1790258408
PECOS PAC ID: 0547681058
Enrollment ID: O20200608002967 |
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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. Tracy Marie 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 |
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Tracy Marie Cooper, LCSW
3104 Oak Ridge Rd,
Crystal Lake, IL 60012-1066
Ph: (585) 957-3981 | Tracy Marie Cooper, LCSW
34 W Grand Ave Ste 101,
Fox Lake, IL 60020-1224
Ph: (585) 957-3981 |
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