| Cameron Cooper, PA | |
|
576 E Highway 138 Ste 310, Stansbury Park, UT 84074-4028 | |
| (801) 827-0662 | |
| Not Available |
| Full Name | Cameron Cooper |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 8 Years |
| Location | 576 E Highway 138 Ste 310, Stansbury Park, Utah |
| 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 |
|---|---|---|---|
| 1518453976 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 10961171-1206 (Utah) | Secondary |
| 363A00000X | Physician Assistant | (Utah) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mountain West Medical Center | Tooele, UT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mmg Stansbury Family Practice Llc | 7911371422 | 4 |
| Entity Name | Tooele Orthopedics & Sports Medicine Specialists |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467581173 PECOS PAC ID: 0941279566 Enrollment ID: O20040930000449 |
| Entity Name | Mountain West Family Practice LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770581605 PECOS PAC ID: 6406813070 Enrollment ID: O20041215000392 |
| Entity Name | Mmg Stansbury Family Practice LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730892274 PECOS PAC ID: 7911371422 Enrollment ID: O20230324000780 |
| Mailing Address | Practice Location Address |
|---|---|
| Cameron Cooper, PA 2321 N 400 E Ste 300, Tooele, UT 84074-3440 Ph: (435) 833-9180 | Cameron Cooper, PA 576 E Highway 138 Ste 310, Stansbury Park, UT 84074-4028 Ph: (801) 827-0662 |
Ms. Johanna E Greenberg, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 220 Millpond, #100, Stansbury Park, UT 84074 Phone: 435-843-3000 Fax: 435-843-3015 |
Jennifer B Littledike, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 210 Millpond, Stansbury Park, UT 84074 Phone: 435-843-3647 |
Ms. Amanda Madrid, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 220 Millpond, Stansbury Park, UT 84074 Phone: 435-843-3096 |