Kimberly Cooper, Psyd Pllc - Medicare Mental Health Clinic in Bangor, ME

Kimberly Cooper, Psyd Pllc is a medicare enrolled mental health clinic (Clinic/center - Mental Health (including Community Mental Health Center)) in Bangor, Maine. The current practice location for Kimberly Cooper, Psyd Pllc is 73 Hammond St # 1811, Bangor, Maine. For appointments, you can reach them via phone at (207) 762-7282. The mailing address for Kimberly Cooper, Psyd Pllc is Po Box 1811, Bangor, Maine and phone number is () -.

Kimberly Cooper, Psyd Pllc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1750059564. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (207) 762-7282.

Contact Information

Kimberly Cooper, Psyd Pllc
73 Hammond St # 1811
Bangor
ME 04401-4957
(207) 762-7282
Not Available

Mental Health Clinic Profile

Full NameKimberly Cooper, Psyd Pllc
SpecialityClinic/Center
Location73 Hammond St # 1811, Bangor, Maine
Authorized Official Name and PositionKimberly J Cooper (PSYCHOLOGIST)
Authorized Official Contact2077627282
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kimberly Cooper, Psyd Pllc
Po Box 1811
Bangor
ME 04402-1811

Ph: () -
Kimberly Cooper, Psyd Pllc
73 Hammond St # 1811
Bangor
ME 04401-4957

Ph: (207) 762-7282

NPI Details:

NPI Number1750059564
Provider Enumeration Date09/06/2021
Last Update Date09/06/2021
Certification Date09/06/2021

Medicare PECOS Information:

Medicare PECOS PAC ID5799174041
Medicare Enrollment IDO20211109000029

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Medical Identifiers

Medical identifiers for Kimberly Cooper, Psyd Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1750059564NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QM0801XClinic/center - Mental Health (including Community Mental Health Center) (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Kimberly Cooper, Psyd Pllc acts as a billing entity for following providers:
Provider NameKimberly Cooper
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1598747032
PECOS PAC ID: 9436125184
Enrollment ID: I20160613001430

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