| Sally A Cooper, DO | |
|
221 Hospital Dr Ne, Fort Walton Beach, FL 32548-5066 | |
| (850) 833-9240 | |
| Not Available |
| Full Name | Sally A Cooper |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 27 Years |
| Location | 221 Hospital Dr Ne, Fort Walton Beach, Florida |
| 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 |
|---|---|---|---|
| 1487646725 | NPI | - | NPPES |
| 273692600 | Medicaid | FL | |
| 059197876 | Other | AL | BCBS |
| 28660 | Other | FL | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OS9434 (Florida) | Primary |
| 207P00000X | Emergency Medicine | OS9434 (Florida) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Florida Department Of Health | 3072424282 | 117 |
| Entity Name | Florida Department Of Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376502088 PECOS PAC ID: 3072424282 Enrollment ID: O20050222000220 |
| Mailing Address | Practice Location Address |
|---|---|
| Sally A Cooper, DO 221 Hospital Dr Ne, Fort Walton Beach, FL 32548-5066 Ph: (850) 833-9240 | Sally A Cooper, DO 221 Hospital Dr Ne, Fort Walton Beach, FL 32548-5066 Ph: (850) 833-9240 |
Dr. Gerald M Hollingsworth, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 203 Patrick Dr, Fort Walton Beach, FL 32547 Phone: 850-863-1767 | |
Dr. John David Sites, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 137 Hospital Dr Ne, Fort Walton Beach, FL 32548 Phone: 850-226-8857 | |
Dr. Terry L Payne, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1005 Mar Walt Dr, Fort Walton Beach, FL 32547 Phone: 850-863-6600 Fax: 850-862-0977 | |
Chinh Vien Van, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1005 Mar Walt Drive, Immediate Care Department, Fort Walton Beach, FL 32547 Phone: 850-863-8219 Fax: 850-863-8249 | |
Dr. Teresa Marie Skojac, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 319 Green Acres Rd Ste 101, Fort Walton Beach, FL 32547 Phone: 850-243-7681 | |
Dr. Peter Kerr Senechal, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 319 Green Acres Rd Ste 101, Fort Walton Beach, FL 32547 Phone: 850-243-7681 Fax: 850-243-0471 | |
Dr. Chris George Pappas, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 319 Green Acres Rd, Suite 101, Fort Walton Beach, FL 32547 Phone: 850-243-7681 Fax: 850-243-0471 |