Tracy Cooley, DNP, APRN, PMHNP-BC - Medicare Nurse Practitioner in Alton, IL

Tracy Cooley, DNP, APRN, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Alton, Illinois. Her current practice location is 727 E 5th St, Alton, Illinois. You can reach out to her office (for appointments etc.) via phone at (618) 509-1723.

Tracy Cooley is licensed to practice in Illinois (license number 209023519) 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 1528639606.

Contact Information

Tracy Cooley, DNP, APRN, PMHNP-BC
727 E 5th St,
Alton, IL 62002-6430
(618) 509-1723
Not Available



Provider's Profile

Full NameTracy Cooley
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location727 E 5th St, Alton, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1528639606
  • Provider Enumeration Date: 07/08/2021
  • Last Update Date: 10/20/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 1658769310
  • Enrollment ID: I20211028002650

Medical Identifiers

Medical identifiers for Tracy Cooley such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1528639606NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 2021028636 (Missouri)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 209023519 (Illinois)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. Tracy Cooley allows following entities to bill medicare on her behalf.
Entity NameForefront-khatkhate Medical Services Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164076683
PECOS PAC ID: 4082944335
Enrollment ID: O20190930000792

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Entity NameForefront-rosenzweig Medical Services Professional Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588101745
PECOS PAC ID: 1052697455
Enrollment ID: O20211124001015

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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. Tracy 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 AddressPractice Location Address
Tracy Cooley, DNP, APRN, PMHNP-BC
727 E 5th St,
Alton, IL 62002-6430

Ph: (618) 509-1723
Tracy Cooley, DNP, APRN, PMHNP-BC
727 E 5th St,
Alton, IL 62002-6430

Ph: (618) 509-1723

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Nurse Practitioner Nurses in Alton, IL

Mrs. Misty D Biciocchi, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 4 Memorial Dr, Ste 134, Alton, IL 62002
Phone: 618-607-1340    Fax: 618-622-9724
Lee A Tardino, MSN ANP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 4 Memorial Dr Ste 210, Alton, IL 62002
Phone: 618-463-5905    Fax: 618-463-5935
Jodi R Lutz, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1650 Washington Ave, Alton, IL 62002
Phone: 314-687-2735    
Lisa K James, ANP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 4 Memorial Dr Ste 230, Alton, IL 62002
Phone: 618-433-6170    
Laura L Brandenburg, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 4 Memorial Dr, Ste 230b, Alton, IL 62002
Phone: 618-463-7777    Fax: 618-463-7767
Kelsey M Beard, FNP-BC, DNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 4 Memorial Dr Ste 210, Alton, IL 62002
Phone: 618-463-5905    Fax: 618-463-5035
Anissa Fay Washington, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1 Memorial Dr, Alton, IL 62002
Phone: 618-463-7300    

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