Clay M Cooper, is a medicare enrolled "Physician Assistant" provider in Boardman, Ohio. His current practice location is
8423 Market St, Boardman, Ohio. You can reach out to his office (for appointments etc.) via phone at
(330) 965-5490.
Clay M Cooper is licensed to practice in Ohio (license number 50.008999RX) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1679076806.
Healthcare Provider's Profile
Full Name | Clay M Cooper |
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Gender | Male |
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Speciality | Physician Assistant |
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Location | 8423 Market St, Boardman, Ohio |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1679076806
- Provider Enumeration Date: 03/14/2018
- Last Update Date: 11/13/2024
Medicare PECOS Information:
- PECOS PAC ID: 7618403015
- Enrollment ID: I20241209003201
Medical Identifiers
Medical identifiers for Clay M Cooper such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1679076806 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | C.1700347 (Ohio) | Secondary |
363A00000X | Physician Assistant | 50.008999RX (Ohio) | Primary |
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. Clay M 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 |
Clay M Cooper, 8401 Market St, Youngstown, OH 44512-6725 Ph: () - | Clay M Cooper, 8423 Market St, Boardman, OH 44512-6778 Ph: (330) 965-5490 |
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