| Jeniece Alison Cooper, MD | |
|
145 Shaffer St, Williamsport, PA 17702-6727 | |
| (570) 327-1335 | |
| (570) 321-7800 |
| Full Name | Jeniece Alison Cooper |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 145 Shaffer St, Williamsport, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861015596 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD481730 (Pennsylvania) | Primary |
| Entity Name | Family Practice Center Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154376937 PECOS PAC ID: 0244124212 Enrollment ID: O20040211000012 |
| Entity Name | Susquehanna Physician Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205870904 PECOS PAC ID: 2264336460 Enrollment ID: O20040225000410 |
| Mailing Address | Practice Location Address |
|---|---|
| Jeniece Alison Cooper, MD 7 Dock Hill Rd, Middleburg, PA 17842-8910 Ph: (570) 837-2123 | Jeniece Alison Cooper, MD 145 Shaffer St, Williamsport, PA 17702-6727 Ph: (570) 327-1335 |
Dr. Kathleen Claire Lewis, Family Medicine Medicare: Medicare Enrolled Practice Location: 1701 Four Mile Dr, Williamsport, PA 17701 Phone: 570-327-1000 Fax: 570-323-6079 | |
Alexander Elli Nuique Jr., MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1205 River Avenue Fl 2, Williamsport, PA 17701 Phone: 570-326-4118 Fax: 570-326-5533 | |
Jeffrey Verzella, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 740 High St, Suite 4001, Williamsport, PA 17701 Phone: 570-321-2345 | |
Courtney Leigh Goettel, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 740 High St Ste 4001, Williamsport, PA 17701 Phone: 570-321-2345 | |
Lara Jaussi, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1100 Grampian Blvd, Williamsport, PA 17701 Phone: 570-320-7680 | |
Dr. Alyssa Elizabeth Heinrich, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 700 High St, Williamsport, PA 17701 Phone: 570-321-2850 | |
Leeanna Lyne, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1205 Grampian Blvd, Suite 3c, Williamsport, PA 17701 Phone: 570-320-7800 |