Timothy R Cooper, MD | |
2845 Greenbrier Rd, Green Bay, WI 54311-6519 | |
(877) 229-0273 | |
(920) 288-4863 |
Full Name | Timothy R Cooper |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 34 Years |
Location | 2845 Greenbrier Rd, Green Bay, Wisconsin |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1033192943 | NPI | - | NPPES |
104896578 | Medicaid | MI | |
P00355798 | Other | WI | RAILROAD |
32037400 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208VP0000X | Pain Medicine - Pain Medicine | 33935 (Wisconsin) | Primary |
207L00000X | Anesthesiology | 33935-020 (Wisconsin) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Aurora Baycare Medical Ctr | Green bay, WI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Baycare Clinic Llp | 4385554328 | 185 |
Entity Name | Baycare Clinic Llp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588609648 PECOS PAC ID: 4385554328 Enrollment ID: O20031105000087 |
Mailing Address | Practice Location Address |
---|---|
Timothy R Cooper, MD 1035 Kepler Dr, Green Bay, WI 54311-8320 Ph: (920) 490-9046 | Timothy R Cooper, MD 2845 Greenbrier Rd, Green Bay, WI 54311-6519 Ph: (877) 229-0273 |
Dr. Reginald E Julien, M.D. Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 835 S Van Buren St, Green Bay, WI 54301 Phone: 920-433-0111 | |
Ahmet Dervish, MD Pain Medicine Medicare: Medicare Enrolled Practice Location: 2845 Greenbrier Rd Ste 340, Green Bay, WI 54311 Phone: 920-288-8380 Fax: 920-288-8385 | |
Dr. Ajeet Sharma, MD Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 835 S Van Buren St, Green Bay, WI 54301 Phone: 844-276-5853 Fax: 262-439-7674 | |
Dr. Amy C. Yeatman, D.O. Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 744 S Webster Ave, Green Bay, WI 54301 Phone: 920-431-5607 |