Kathryn Cooper, NP is a medicare enrolled "Family Medicine - Adult Medicine" in Syracuse, New York. She graduated from nursing school in 1997 and has 28 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Crouse Medical Practice Pllc and her current practice location is
739 Irving Ave Ste 500, Syracuse, New York. You can reach out to her office (for appointments etc.) via phone at
(315) 470-7409.
Kathryn Cooper is licensed to practice in New York (license number F331842) 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 1750377479.
Provider's Profile
| Full Name | Kathryn Cooper |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 28 Years |
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| Location | 739 Irving Ave Ste 500, Syracuse, New York |
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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:
- Kathryn Cooper graduated from nursing school in 1997
NPI Data:
- NPI Number: 1750377479
- Provider Enumeration Date: 09/27/2005
- Last Update Date: 08/14/2024
Medicare PECOS Information:
- PECOS PAC ID: 4981794765
- Enrollment ID: I20071217000551
Medical Identifiers
Medical identifiers for Kathryn Cooper such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1750377479 | NPI | - | NPPES |
| 02054626 | Medicaid | NY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LA2200X | Nurse Practitioner - Adult Health | F331842 (New York) | Secondary |
| 207QA0505X | Family Medicine - Adult Medicine | F331842 (New York) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Crouse Medical Practice Pllc | 8426189622 | 171 |
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. Kathryn Cooper allows following entities to bill medicare on her behalf.
| Entity Name | Crouse Medical Practice Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1922321934
PECOS PAC ID: 8426189622
Enrollment ID: O20100702000336 |
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| Entity Name | St Josephs Medical Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1942501747
PECOS PAC ID: 4688855844
Enrollment ID: O20110221000744 |
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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. Kathryn 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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Kathryn Cooper, NP
1001 W Fayette St Ste 400,
Syracuse, NY 13204-2866
Ph: (315) 937-3433 | Kathryn Cooper, NP
739 Irving Ave Ste 500,
Syracuse, NY 13210-1664
Ph: (315) 470-7409 |
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