| Tricia L Cooperrider, DO | |
| 
					30 E Highway 6, Waukee, IA 50263-5011  | |
| (515) 987-6610 | |
| (515) 987-6957 | 
| Full Name | Tricia L Cooperrider | 
|---|---|
| Gender | Female | 
| Speciality | Pediatrics | 
| Location | 30 E Highway 6, Waukee, Iowa | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1528220563 | NPI | - | NPPES | 
| 1528220563 | Medicaid | IA | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208000000X | Pediatrics | R8398 (Iowa) | Secondary | 
| 208000000X | Pediatrics | 4166 (Iowa) | Primary | 
| Entity Name | Iowa Physicians Clinic Medical Foundation | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1366425274 PECOS PAC ID: 8729992318 Enrollment ID: O20031118000363  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Tricia L Cooperrider, DO 40 E Hickman Rd, Waukee, IA 50263-5011 Ph: (515) 987-6610  | Tricia L Cooperrider, DO 30 E Highway 6, Waukee, IA 50263-5011 Ph: (515) 987-6610  | 
Dr. Adam Jon Secory, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 1025 Se Tallgrass Lane Ste 260, Waukee, IA 50263 Phone: 515-875-9420 Fax: 515-875-8201  | |
Dr. Sarah Campbell Holland, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 1025 Se Tallgrass Lane Ste 260, Waukee, IA 50263 Phone: 515-875-9420 Fax: 515-875-8201  | |
Dr. Shilpi Shrivastava, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 350 E Hickman Rd, Waukee, IA 50263 Phone: 515-643-7090 Fax: 515-643-7091  | |
Scott Oelberg, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 40 E Hickman Rd, Waukee, IA 50263 Phone: 515-216-2918  | |
Collin Foster, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 350 E Hickman Rd, Waukee, IA 50263 Phone: 515-643-7090 Fax: 515-643-7091  | |
Stephen B Rinderknecht, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 30 E Highway 6, Waukee, IA 50263 Phone: 515-987-6610  | |
Joshua John Kindt, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1025 Se Tallgrass Ln Ste 260, Waukee, IA 50263 Phone: 515-875-9420 Fax: 515-875-8201  |