| Leann Dalton Cooper, | |
|
124 Dowell Rd, Russell Springs, KY 42642 | |
| (270) 866-2440 | |
| (270) 866-2442 |
| Full Name | Leann Dalton Cooper |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 11 Years |
| Location | 124 Dowell Rd, Russell Springs, Kentucky |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922414481 | NPI | - | NPPES |
| R3457 | Medicaid | KY | |
| 71000382620 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | R3457 (Kentucky) | Secondary |
| 207Q00000X | Family Medicine | 50197 (Kentucky) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lifeline Health Care Of Pulaski | Somerset, KY | Home health agency |
| Russell County Hospital | Russell springs, KY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Russell County Hospital | 6204887243 | 17 |
| Entity Name | Russell County Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437245842 PECOS PAC ID: 6204887243 Enrollment ID: O20050217000172 |
| Mailing Address | Practice Location Address |
|---|---|
| Leann Dalton Cooper, 124 Dowell Rd, Russell Springs, KY 42642-4278 Ph: (270) 866-2440 | Leann Dalton Cooper, 124 Dowell Rd, Russell Springs, KY 42642 Ph: (270) 866-2440 |
Alyssa L Kozacek, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 404 Steve Drive, Russell Springs, KY 42642 Phone: 270-866-3161 Fax: 270-866-3163 | |
Dr. Richard Stayton Miles, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 124 Dowell Rd, Russell Springs, KY 42642 Phone: 270-866-2440 Fax: 270-866-2442 | |
Dr. Miles Kenton Gibson, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 92 Joe T Petty Dr, Suite 300, Russell Springs, KY 42642 Phone: 270-866-7066 Fax: 270-866-7068 | |
Liesel C Grentz, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 124 Dowell Rd, Russell Springs, KY 42642 Phone: 270-866-2440 Fax: 270-866-2442 | |
Dr. Macon Samuel Bradley, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 153 Dowell Rd, Russell Springs, KY 42642 Phone: 270-866-4141 |