| Dr Joseph Benjamin Cooper, MD | |
|
1218 N Division Ave Ste 208, Sandpoint, ID 83864-5054 | |
| (208) 263-3091 | |
| (208) 263-3147 |
| Full Name | Dr Joseph Benjamin Cooper |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 1218 N Division Ave Ste 208, Sandpoint, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063941383 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MC-2534 (Idaho) | Primary |
| 207P00000X | Emergency Medicine | MC-2534 (Idaho) | Secondary |
| 208M00000X | Hospitalist | MC-2534 (Idaho) | Secondary |
| Entity Name | Benewah Community Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386632180 PECOS PAC ID: 1850200700 Enrollment ID: O20040927000265 |
| Entity Name | Benewah Community Hospital |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1548320435 PECOS PAC ID: 1850200700 Enrollment ID: O20061104000136 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Joseph Benjamin Cooper, MD 1218 N Division Ave Ste 208, Sandpoint, ID 83864-5054 Ph: (208) 263-3091 | Dr Joseph Benjamin Cooper, MD 1218 N Division Ave Ste 208, Sandpoint, ID 83864-5054 Ph: (208) 263-3091 |
Daniel Jack Meulenberg, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 606 N 3rd Ave Ste 101, Sandpoint, ID 83864 Phone: 208-263-1435 Fax: 208-263-7812 | |
Patricia Jane Hennessy, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1205 Highway 2, Suite 301, Sandpoint, ID 83864 Phone: 208-265-9909 Fax: 208-265-5351 | |
Dr. Timothy Ray Bonine, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1309 Ponderosa Dr, Suite 103, Sandpoint, ID 83864 Phone: 208-263-9545 Fax: 208-263-9539 | |
Amber M Clark, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1218 N Division Ave Ste 208, Sandpoint, ID 83864 Phone: 208-263-3091 | |
Tracey Koch, FNP Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 420 N Second Ave, Suite 100, Sandpoint, ID 83864 Phone: 208-265-2242 Fax: 208-265-8214 | |
W Hugh Leedy, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1327 Superior St, Sandpoint, ID 83864 Phone: 208-263-1718 Fax: 208-263-7198 |