Teresa Louise Cooper, is a medicare enrolled "Social Worker - Clinical" provider in Hampton, Virginia. She graduated from healthcare school in 2022 and has 4 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Colonial Behavioral Health and her current practice location is
2 Madrone Pl, Hampton, Virginia. You can reach out to her office (for appointments etc.) via phone at
(757) 604-5844.
Teresa Louise Cooper is licensed to practice in Virginia (license number 0904013176) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1184377681.
Healthcare Provider's Profile
| Full Name | Teresa Louise Cooper |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 4 Years |
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| Location | 2 Madrone Pl, Hampton, Virginia |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Teresa Louise Cooper graduated from medical school in 2022
NPI Data:
- NPI Number: 1184377681
- Provider Enumeration Date: 02/03/2022
- Last Update Date: 02/03/2022
Medicare PECOS Information:
- PECOS PAC ID: 2163889684
- Enrollment ID: I20230526001863
Medical Identifiers
Medical identifiers for Teresa Louise Cooper such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1184377681 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 0710103400 (Virginia) | Secondary |
| 1041C0700X | Social Worker - Clinical | 0904013176 (Virginia) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Colonial Behavioral Health | 7012010549 | 16 |
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. Teresa Louise Cooper allows following entities to bill medicare on her behalf.
| Entity Name | Western Tidewater Community Mental |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1689615296
PECOS PAC ID: 2961476114
Enrollment ID: O20040823001494 |
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| Entity Name | Colonial Behavioral Health |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1760565915
PECOS PAC ID: 7012010549
Enrollment ID: O20070716000744 |
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| Entity Name | Sondermind Provider Network Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1760854442
PECOS PAC ID: 9537572490
Enrollment ID: O20210331001144 |
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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. Teresa Louise 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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Teresa Louise Cooper,
2 Madrone Pl,
Hampton, VA 23666-6816
Ph: (757) 604-5844 | Teresa Louise Cooper,
2 Madrone Pl,
Hampton, VA 23666-6816
Ph: (757) 604-5844 |
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