| William L Cooper, MD | |
| 103 Alycia Dr, Richmond, KY 40475-2368 | |
| (859) 626-3412 | |
| (859) 626-3663 | 
| Full Name | William L Cooper | 
|---|---|
| Gender | Male | 
| Speciality | Radiology - Diagnostic Radiology | 
| Location | 103 Alycia Dr, Richmond, Kentucky | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1568492098 | NPI | - | NPPES | 
| 000000217321 | Other | KY | ANTHEM BLUE CROSS PIN | 
| C64416 | Other | KY | BLUEGRASS FAMILY HEALTH | 
| 64158454 | Medicaid | KY | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 15845 (Kentucky) | Primary | 
| Entity Name | Elite Imaging Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1942208319 PECOS PAC ID: 2466496880 Enrollment ID: O20150311002147 | 
| Mailing Address | Practice Location Address | 
|---|---|
| William L Cooper, MD 103 Alycia Dr, Richmond, KY 40475-2368 Ph: (859) 626-3412 | William L Cooper, MD 103 Alycia Dr, Richmond, KY 40475-2368 Ph: (859) 626-3412 | 
| Mr. Timothy E Dineen, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 101 Alycia Drive, Richmond, KY 40475 Phone: 859-626-1504 Fax: 859-626-3663 | |
| Jeniffer Lynn Huhn, DO Radiology Medicare: Accepting Medicare Assignments Practice Location: 793 Eastern Byp, Suite G2, Richmond, KY 40475 Phone: 859-626-0074 Fax: 859-626-3265 | |
| Benjamin Homer Mcquaide, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 781 Eastern Byp, Richmond, KY 40475 Phone: 859-623-8827 Fax: 859-623-8810 | |
| Dr. John R Simmons, DO Radiology Medicare: Accepting Medicare Assignments Practice Location: 793 Eastern Byp, G2, Richmond, KY 40475 Phone: 859-626-0074 Fax: 859-626-3265 | |
| Dr. Farah Ian Brown, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 101 Alycia Dr, Richmond, KY 40475 Phone: 855-672-3888 Fax: 855-672-3888 | |
| Sandra L. Swayze, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 793 Eastern Byp, Suite G2, Richmond, KY 40475 Phone: 859-626-0074 Fax: 859-626-3265 |