| Clay M Cooper, | |
|
8423 Market St, Boardman, OH 44512-6778 | |
| (330) 965-5490 | |
| (330) 965-5491 |
| Full Name | Clay M Cooper |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 2 Years |
| Location | 8423 Market St, Boardman, Ohio |
| 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 |
|---|---|---|---|
| 1679076806 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 50.008999RX (Ohio) | Primary |
| 101YM0800X | Counselor - Mental Health | C.1700347 (Ohio) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mh St Elizabeth Boardman Hospital | Boardman, OH | Hospital |
| Mh St Joseph Warren Hospital | Warren, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mercy Health Physicians Youngstown Specialty Care Llc | 3476950296 | 463 |
| Entity Name | Mercy Health Physicians Youngstown Specialty Care LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649892225 PECOS PAC ID: 3476950296 Enrollment ID: O20210921003835 |
| Mailing Address | Practice Location Address |
|---|---|
| Clay M Cooper, 8401 Market St, Youngstown, OH 44512-6725 Ph: Not Available | Clay M Cooper, 8423 Market St, Boardman, OH 44512-6778 Ph: (330) 965-5490 |
Alex John Polenick, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1499 Boardman Canfield Rd, Boardman, OH 44512 Phone: 330-758-0577 Fax: 330-533-4587 |
Mrs. Franchessca Lucia Catalano, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 8423 Market St, Ste 101, Boardman, OH 44512 Phone: 330-729-8700 Fax: 330-729-8701 |
Braden Bizon, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7420 Fawn Ct, Boardman, OH 44512 Phone: 330-503-4539 |
Anne R Zajac, PA C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 987 Boardman Canfield Rd, Boardman, OH 44512 Phone: 330-271-8589 Fax: 330-965-9325 |
Cindy A Lanterman, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 8401 Market St Ste 200, Boardman, OH 44512 Phone: 240-686-2300 |
Tiffany M Greene, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 8423 Market St Ste 205, Boardman, OH 44512 Phone: 330-965-5490 Fax: 330-965-5491 |
Casey Dickey, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1039 Boardman Canfield Rd, Boardman, OH 44512 Phone: 330-965-8760 |