| Brook Ann Coopman, NP | |
|
620 Smith Ave, Oconto, WI 54153-1080 | |
| (920) 834-4110 | |
| (920) 834-4117 |
| Full Name | Brook Ann Coopman |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 620 Smith Ave, Oconto, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760241525 | NPI | - | NPPES |
| 100272586 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 15139-33 (Wisconsin) | Primary |
| Entity Name | Prevea Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306869276 PECOS PAC ID: 0042123150 Enrollment ID: O20031106000034 |
| Entity Name | St. Nicholas Hospital-sisters Of The Third Order Of St Francis |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275799413 PECOS PAC ID: 8325931652 Enrollment ID: O20040202001172 |
| Entity Name | St Vincent Hospital-hospital Sisters-third Order Of St Francis |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285613638 PECOS PAC ID: 5799694675 Enrollment ID: O20080620000423 |
| Mailing Address | Practice Location Address |
|---|---|
| Brook Ann Coopman, NP Po Box 19070, Green Bay, WI 54307-9070 Ph: (920) 496-4700 | Brook Ann Coopman, NP 620 Smith Ave, Oconto, WI 54153-1080 Ph: (920) 834-4110 |
Lindsey E Baade, APNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 820 Arbutus Ave, Oconto, WI 54153 Phone: 920-835-1100 Fax: 920-835-1099 | |
Heather L. Mayer, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 620 Smith Ave, Oconto, WI 54153 Phone: 920-834-4110 Fax: 920-834-4117 | |
Tanya Lynn Malek, APNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 820 Arbutus Ave, Oconto, WI 54153 Phone: 920-834-8833 Fax: 920-834-8830 | |
Clayton W Keene, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 530 Smith Ave, Oconto, WI 54153 Phone: 920-834-7600 | |
Lori Jean Jacobs, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 820 Arbutus Ave, Oconto, WI 54153 Phone: 920-835-1100 Fax: 920-835-1099 | |
Kimberly Marie Kudwa, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 820 Arbutus Ave, Oconto, WI 54153 Phone: 920-834-8833 Fax: 920-834-8830 |