Katherine Cooley, in Fort Wayne, IN - Medicare Counselor Provider

Katherine Cooley, is a medicare enrolled "Counselor - Mental Health" provider in Fort Wayne, Indiana. Her current practice location is 8211 W Jefferson Blvd, Fort Wayne, Indiana. You can reach out to her office (for appointments etc.) via phone at (260) 442-6937.

Katherine Cooley is licensed to practice in Indiana (license number 39003951A) 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 1275209678.

Contact Information

	Katherine Cooley,
	8211 W Jefferson Blvd, Fort Wayne, IN 46804-4796
	(260) 442-6937
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Katherine Cooley
Gender	Female
Speciality	Counselor - Mental Health
Location	8211 W Jefferson Blvd, Fort Wayne, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1275209678
Provider Enumeration Date: 08/17/2021
Last Update Date: 08/17/2021

Medicare PECOS Information:

PECOS PAC ID: 4789121088
Enrollment ID: I20240805002126

Medical Identifiers

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

Identifier	Type	State	Issuer
1275209678	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	39003951A (Indiana)	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. Katherine Cooley allows following entities to bill medicare on her behalf.

Entity Name	Meridian Health Services Corp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1992755490 PECOS PAC ID: 5597679845 Enrollment ID: O20031119000531

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. Katherine 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
Katherine Cooley, 10727 Brighton Knoll Pkwy S, Noblesville, IN 46060-5576 Ph: (317) 281-9306	Katherine Cooley, 8211 W Jefferson Blvd, Fort Wayne, IN 46804-4796 Ph: (260) 442-6937

Reviews and Comments

Counselor in Fort Wayne, IN

Courtney Lesley Washington, Counselor Medicare: Accepting Medicare Assignments Practice Location: 909 E State Blvd, Fort Wayne, IN 46805 Phone: 260-481-2700
Alicia Jean Digiulio, MA, MSED, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 9417 Saint Joe Center Rd, Fort Wayne, IN 46835 Phone: 260-255-5289
Jennifer Perry, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 909 E State Blvd, Fort Wayne, IN 46805 Phone: 260-481-2700 Fax: 260-481-2709
Raphilla D Dixie, Counselor Medicare: Medicare Enrolled Practice Location: 3005 E State Blvd, Fort Wayne, IN 46805 Phone: 260-267-9498 Fax: 260-739-3618
Timothy Jay Hill, MSED Counselor Medicare: Not Enrolled in Medicare Practice Location: 2100 Goshen Rd, Fort Wayne, IN 46808 Phone: 260-471-3500
Mrs. Molly Christina Colglazier, Counselor Medicare: Not Enrolled in Medicare Practice Location: 10102 Woodland Plaza Cv Ste A, Fort Wayne, IN 46825 Phone: 260-240-4200
Rita Kay Self, M.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 3010 E State Blvd, Fort Wayne, IN 46805 Phone: 260-471-2300 Fax: 260-471-2778

Katherine Cooley, - Medicare Counselor in Fort Wayne, IN