Carli J Cooper, DO in Kingsport, TN - Medicare Family Practice

Carli J Cooper, DO is a medicare enrolled "Family Medicine" physician in Kingsport, Tennessee. She graduated from medical school in 2013 and has 12 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice State Of Franklin Healthcare Associates, Pllc and her current practice location is 444 Clinchfield St Ste 2800, Kingsport, Tennessee. You can reach out to her office (for appointments etc.) via phone at (423) 230-2801.

Carli J Cooper is licensed to practice in Tennessee (license number DO3035) 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 1861732968.

Contact Information

	Carli J Cooper, DO
	444 Clinchfield St Ste 2800, Kingsport, TN 37660-3858
	(423) 230-2801
	(423) 239-7750

Map and Direction

Physician's Profile

Full Name	Carli J Cooper
Gender	Female
Speciality	Family Practice
Experience	12 Years
Location	444 Clinchfield St Ste 2800, Kingsport, Tennessee
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Carli J Cooper graduated from medical school in 2013

NPI Data:

NPI Number: 1861732968
Provider Enumeration Date: 02/26/2013
Last Update Date: 02/13/2025

Medicare PECOS Information:

PECOS PAC ID: 1658505375
Enrollment ID: I20160809000470

Medical Identifiers

Medical identifiers for Carli J Cooper such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1861732968	NPI	-	NPPES
6071441	Other	TN	BCBS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	LL1700 (South Carolina)	Secondary
207Q00000X	Family Medicine	DO3035 (Tennessee)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Wellmont Holston Valley Medical Center	Kingsport, TN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
State Of Franklin Healthcare Associates, Pllc	2466346291	263

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. Carli J Cooper allows following entities to bill medicare on her behalf.

Entity Name	State Of Franklin Healthcare Associates, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063459410 PECOS PAC ID: 2466346291 Enrollment ID: O20040211001101

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. Carli J 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
Carli J Cooper, DO Po Box 632476, Cincinnati, OH 45263-2476 Ph: (423) 230-2801	Carli J Cooper, DO 444 Clinchfield St Ste 2800, Kingsport, TN 37660-3858 Ph: (423) 230-2801

Reviews and Comments

Family Medicine Doctors in Kingsport, TN

Mary Axelrad, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4848 Fort Henry Dr, Kingsport, TN 37663 Phone: 423-239-5141 Fax: 423-239-4869
Dr. Chad Bates, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2033 Meadowview Lane, Suite 200 Holston Medical Group Pc, Kingsport, TN 37660 Phone: 423-857-2260
Dr. Edward Monty Stirman, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 105 W Stone Dr, Ste 3a, Kingsport, TN 37660 Phone: 423-323-6200 Fax: 423-323-6593
Dr. Anthony Tin-lung Ng, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2000 Brookside Dr, Kingsport, TN 37660 Phone: 423-857-7000
Jerry Miller, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 105 W Stone Dr, Ste 3a, Kingsport, TN 37660 Phone: 423-392-6200
Ms. Lesley Ann Jones, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 2012 Brookside Dr, Ste 6, Kingsport, TN 37660 Phone: 423-247-0462 Fax: 423-247-0465
Dr. Ronald W Hunter, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1526 Bridgewater Ln, Kingsport, TN 37660 Phone: 423-245-0034

Carli J Cooper, DO - Medicare Family Practice in Kingsport, TN