| Brian K Cooper, PA | |
|
275 11th St S, Wahpeton, ND 58075-4655 | |
| (701) 642-2000 | |
| Not Available |
| Full Name | Brian K Cooper |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 20 Years |
| Location | 275 11th St S, Wahpeton, North Dakota |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053563957 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | (North Dakota) | Secondary |
| 363A00000X | Physician Assistant | PAC0404 (North Dakota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Benedictine Home Health | Wahpeton, ND | Home health agency |
| Essentia Health Fargo | Fargo, ND | Hospital |
| St Francis Medical Center | Breckenridge, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Innovis Health Llc | 9931298155 | 561 |
| Entity Name | West River Health Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174606271 PECOS PAC ID: 0042127045 Enrollment ID: O20040128001023 |
| Entity Name | Innovis Health LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215125463 PECOS PAC ID: 9931298155 Enrollment ID: O20071211000158 |
| Mailing Address | Practice Location Address |
|---|---|
| Brian K Cooper, PA 1702 University Dr S, Fargo, ND 58103-4940 Ph: (701) 364-4222 | Brian K Cooper, PA 275 11th St S, Wahpeton, ND 58075-4655 Ph: (701) 642-2000 |
Anna Carolynn Enderle, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 275 11th St S, Wahpeton, ND 58075 Phone: 701-642-2000 |
Mary Isom, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 332 2nd Ave N, Wahpeton, ND 58075 Phone: 701-642-7000 |
Erin Nicole Jirak, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 275 11th St S, Wahpeton, ND 58075 Phone: 701-642-2000 |
Heather Alison Brekke, PA-C, ATC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 332 2nd Ave N, Wahpeton, ND 58075 Phone: 701-642-7000 |
Megan J Biegler, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 275 11th St S, Wahpeton, ND 58075 Phone: 701-642-2000 |
Joan Leslie Nycklemoe-connell, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 332 2nd Ave N, Wahpeton, ND 58075 Phone: 701-642-7000 Fax: 701-642-7055 |
Sean Core, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 332 2nd Ave N, Wahpeton, ND 58075 Phone: 701-642-7000 |