Molly Lynne Coolican, PA-C

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

030994 Issued in NY

Practice address

600 Seneca St Ste 4
Oneida, NY 13421-2743

Phone

(315) 363-1345

Fax

(315) 363-9243

NPI assigned

Jun 28, 2022

Last updated

Aug 21, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Oneida Medical Associates PLLCGroup PAC ID 0244144400, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Oneida Health Hospital Hospital, Oneida, NY, CCN 330115

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Interoperability endpoints

• Direct secure messaging: mcoolican@oma.azalea.phimailbox.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Oneida Medical Associates PLLC

  • Internal Medicine Physician
  • Oneida, NY
  • NPI 1255338018
  Medicare reassignment Care Compare group

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Oneida Health Systems, Inc

  dba Oneida Healthcare Center

  • General Acute Care Hospital
  • Oneida, NY
  • NPI 1962408203
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1656374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724198400000",
    "number": "1821720939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6111 DUNBARTON RD",
            "city": "DURHAMVILLE",
            "state": "NY",
            "postal_code": "130543197",
            "telephone_number": "315-832-8649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 SENECA ST STE 4",
            "city": "ONEIDA",
            "state": "NY",
            "postal_code": "134212743",
            "telephone_number": "315-363-1345",
            "fax_number": "315-363-9243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOLICAN",
        "first_name": "MOLLY",
        "middle_name": "LYNNE",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-28",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "NY",
            "license": "030994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Consumer Services of Madison County
• Caitlin Cook, DPT
• Corena Cook
• Joann Cook, CRNA
• Zachary Andrew Cook, CASAC-2
• Kristina Cooner
• Corey Corbin, NP
• Costello Eye Physicians & Surgeons, PLLC
• Costello Sr - Allen Optometrists PLLC (Allen Eye Associates)
• Costello Sr. - Allen Optometrists PLLC

• Adult Medicine Physician in Oneida, NY
• Providers in Oneida, NY by specialty
• Adult Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.