Mac Cooper, PTA is a medicare enrolled "Physical Medicine & Rehabilitation" physician in Salmon, Idaho. He graduated from medical school in 2017 and has 9 years of diverse experience with area of expertise as Undefined Non-physician Type (specify). His current practice location is
802 Shoup St, Salmon, Idaho. You can reach out to his office (for appointments etc.) via phone at
(208) 756-2005.
Mac Cooper is licensed to practice in Idaho (license number PTA5126) and he also participates in the medicare program. He
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1831627710.
Physician's Profile
| Full Name | Mac Cooper |
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| Gender | Male |
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| Speciality | Undefined Non-physician Type (specify) |
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| Experience | 9 Years |
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| Location | 802 Shoup St, Salmon, Idaho |
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| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mac Cooper graduated from medical school in 2017
NPI Data:
- NPI Number: 1831627710
- Provider Enumeration Date: 05/23/2017
- Last Update Date: 05/23/2017
Medicare PECOS Information:
- PECOS PAC ID: 0840561239
- Enrollment ID: I20250917002287
Medical Identifiers
Medical identifiers for Mac Cooper such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1831627710 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208100000X | Physical Medicine & Rehabilitation | PTA5126 (Idaho) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mac Cooper is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mac Cooper, PTA
Po Box 1107,
Salmon, ID 83467-1107
Ph: (208) 756-2005 | Mac Cooper, PTA
802 Shoup St,
Salmon, ID 83467-4305
Ph: (208) 756-2005 |
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