| Dr Benjamin B Cooperman, MD | |
|
Po Box 8653, Elkridge, MD 21075-8653 | |
| (301) 909-3210 | |
| Not Available |
| Full Name | Dr Benjamin B Cooperman |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | Po Box 8653, Elkridge, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902090707 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207W00000X | Ophthalmology | D50293 (Maryland) | Secondary |
| 207P00000X | Emergency Medicine | D50293 (Maryland) | Primary |
| 207R00000X | Internal Medicine | D50293 (Maryland) | Secondary |
| Entity Name | Kaiser Foundation Health Plan of the Mid Atlantic States, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043378656 PECOS PAC ID: 3779495858 Enrollment ID: O20080519000558 |
| Entity Name | Kaiser Foundation Health Plan of the Mid Atlantic States, Inc |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1942546486 PECOS PAC ID: 3779495858 Enrollment ID: O20141111002041 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Benjamin B Cooperman, MD Po Box 8653, Elkridge, MD 21075-8653 Ph: (301) 909-3210 | Dr Benjamin B Cooperman, MD Po Box 8653, Elkridge, MD 21075-8653 Ph: (301) 909-3210 |
Kamilah Michelle Kelly, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 7377 Washington Blvd, Suite 101, Elkridge, MD 21075 Phone: 410-379-3051 Fax: 410-379-3074 |