| Trevor Lynn Cooper, | |
|
1160 Kepler Dr, Green Bay, WI 54311-8321 | |
| (920) 288-5500 | |
| (920) 288-5510 |
| Full Name | Trevor Lynn Cooper |
|---|---|
| Gender | Male |
| Speciality | Preventive Medicine |
| Experience | 4 Years |
| Location | 1160 Kepler Dr, Green Bay, Wisconsin |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881344737 | NPI | - | NPPES |
| 100281444 | Medicaid | WI |
| Entity Name | Aurora Medical Group, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427271378 PECOS PAC ID: 6709794258 Enrollment ID: O20031105000725 |
| Mailing Address | Practice Location Address |
|---|---|
| Trevor Lynn Cooper, Po Box 735044, Chicago, IL 60673-5044 Ph: (800) 326-2250 | Trevor Lynn Cooper, 1160 Kepler Dr, Green Bay, WI 54311-8321 Ph: (920) 288-5500 |
Eric Abdul, MD Preventive Medicine Medicare: Accepting Medicare Assignments Practice Location: 1630 Commanche Ave, Green Bay, WI 54313 Phone: 920-430-4700 |
Dr. Thomas C Betka, M.D. Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 2845 Greenbrier Rd, Green Bay, WI 54311 Phone: 920-288-4010 Fax: 920-288-4011 |
Trevor C. Pugh, DO Preventive Medicine Medicare: Medicare Enrolled Practice Location: 1160 Kepler Dr, Green Bay, WI 54311 Phone: 833-986-2170 |
Jasmine John, MD Preventive Medicine Medicare: Accepting Medicare Assignments Practice Location: 3021 Voyager Dr, Green Bay, WI 54311 Phone: 920-496-4700 |
Dr. Roland P Moreno, MD Preventive Medicine Medicare: Accepting Medicare Assignments Practice Location: 2845 Greenbrier Rd, Green Bay, WI 54311 Phone: 920-288-4010 |
Karen Besiada Hansen, OTR Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 835 Potts Ave, Green Bay, WI 54304 Phone: 920-491-9079 Fax: 920-491-9082 |
Al Baltrusaitis, D.O. Preventive Medicine Medicare: Medicare Enrolled Practice Location: 3021 Voyager Dr, Green Bay, WI 54311 Phone: 920-496-4700 |