| Dr Maxwell Ian Cooper, MD | |
|
1 Medical Center Blvd, Chester, PA 19013-3902 | |
| (610) 447-2000 | |
| Not Available |
| Full Name | Dr Maxwell Ian Cooper |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 1 Medical Center Blvd, Chester, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922374669 | NPI | - | NPPES |
| 06937223 | Medicaid | NJ |
| Entity Name | Tidewater Emergency Medical Care |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710991153 PECOS PAC ID: 4183538150 Enrollment ID: O20031113000834 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Maxwell Ian Cooper, MD 4536 Bonney Rd, Virginia Beach, VA 23462-3818 Ph: (757) 490-9388 | Dr Maxwell Ian Cooper, MD 1 Medical Center Blvd, Chester, PA 19013-3902 Ph: (610) 447-2000 |
Denis Ostick, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1 Medical Center Blvd, Chester, PA 19013 Phone: 610-447-6671 | |
Gregory Dickson Frattaroli, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1 Medical Center Blvd, Chester, PA 19013 Phone: 610-447-2000 | |
Raghav Sahni, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1 Medical Center Blvd, Chester, PA 19013 Phone: 610-447-2000 | |
Syed Ali, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Center Blvd, Chester, PA 19013 Phone: 610-447-6671 | |
Victor A Heresniak, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Center Blvd, Crozer Chester Medical Center, Chester, PA 19013 Phone: 215-447-2000 Fax: 610-617-6280 | |
Caroline Nicole Shepherd, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Center Blvd, Chester, PA 19013 Phone: 610-447-2000 | |
Deanna Hojati, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1 Medical Center Blvd, Chester, PA 19013 Phone: 610-447-6671 |