| Brandy Nicole Cooper, | |
|
291 W Main St, Lamar, AR 72846-8195 | |
| (479) 703-5000 | |
| (870) 895-2164 |
| Full Name | Brandy Nicole Cooper |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 4 Years |
| Location | 291 W Main St, Lamar, Arkansas |
| 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 |
|---|---|---|---|
| 1275105983 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2200X | Nurse Practitioner - Adult Health | 216171 (Arkansas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Johnson Regional Medical Center | Clarksville, AR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Access Medical Clinic Arkansas Llc | 5890077093 | 122 |
| Entity Name | Access Medical Clinic Arkansas Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578007647 PECOS PAC ID: 5890077093 Enrollment ID: O20170124001288 |
| Mailing Address | Practice Location Address |
|---|---|
| Brandy Nicole Cooper, 4196 Highway 62 412 Ste A, Hardy, AR 72542-8002 Ph: (870) 856-1202 | Brandy Nicole Cooper, 291 W Main St, Lamar, AR 72846-8195 Ph: (479) 703-5000 |
Lauren Jackson, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 291 W Main St, Lamar, AR 72846 Phone: 479-703-5000 | |
Sarah Joy Cook, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 291 W Main St, Lamar, AR 72846 Phone: 870-895-2015 Fax: 870-895-2164 | |
Sallie M Hampton, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 635 Childers Street, Lamar, AR 72846 Phone: 479-885-3966 Fax: 479-885-3967 | |
Stephannie Cawiezell, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 635 Childers Ave, Lamar, AR 72846 Phone: 479-885-3966 Fax: 479-885-0290 |