| Angela Hucks Cooper, PA-C | |
|
618 N Main St, Marion, SC 29571-3034 | |
| (843) 433-8010 | |
| (843) 433-8692 |
| Full Name | Angela Hucks Cooper |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 23 Years |
| Location | 618 N Main St, Marion, South Carolina |
| 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 |
|---|---|---|---|
| 1134155245 | NPI | - | NPPES |
| 7153 | Other | SC | MEDICARE GROUP NUMBER |
| GP4377 | Other | SC | MEDICAID GROUP NUMBER |
| 0209PA | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 888 (South Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Centerwell Home Health-pee Dee | Florence, SC | Home health agency |
| Musc Health At Home By Bayada-conway | Conway, SC | Home health agency |
| Musc Health Marion Medical Center | Mullins, SC | Hospital |
| Mcleod Medical Center - Dillon | Dillon, SC | Hospital |
| Mcleod Regional Medical Center-pee Dee | Florence, SC | Hospital |
| Entity Name | Walker Urgent & Family Care, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912102518 PECOS PAC ID: 1759633803 Enrollment ID: O20181017003328 |
| Entity Name | Main Street Medical Associates LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144822735 PECOS PAC ID: 8123430857 Enrollment ID: O20201222000186 |
| Mailing Address | Practice Location Address |
|---|---|
| Angela Hucks Cooper, PA-C Po Box 1440, Marion, SC 29571-1440 Ph: (843) 433-8010 | Angela Hucks Cooper, PA-C 618 N Main St, Marion, SC 29571-3034 Ph: (843) 433-8010 |
Charity Denise Self, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 902 Willcox Avenue Ext, Marion, SC 29571 Phone: 571-277-1967 |
Thomas K Stewart, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1205 N Main St, Marion, SC 29571 Phone: 843-423-0760 Fax: 843-423-8138 |