| Gerard Cooper, PA | |
|
13681 Doctors Way, Ft Myers, FL 33912-4300 | |
| (239) 768-8611 | |
| Not Available |
| Full Name | Gerard Cooper |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 13681 Doctors Way, Ft Myers, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902878937 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA0003492 (Florida) | Primary |
| Entity Name | Southwest Florida Emergency Physicians PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588659502 PECOS PAC ID: 3870581432 Enrollment ID: O20040503001195 |
| Entity Name | Dispatchhealth-florida Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407472723 PECOS PAC ID: 2668899220 Enrollment ID: O20200827000623 |
| Entity Name | Ies Florida PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124788716 PECOS PAC ID: 8921485004 Enrollment ID: O20220510002828 |
| Mailing Address | Practice Location Address |
|---|---|
| Gerard Cooper, PA 4820 Sw 24th Pl, Cape Coral, FL 33914-6729 Ph: (239) 980-4939 | Gerard Cooper, PA 13681 Doctors Way, Ft Myers, FL 33912-4300 Ph: (239) 768-8611 |
Valerie A Walk, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2531 Cleveland Ave, Suite 1, Ft Myers, FL 33901 Phone: 239-334-7000 Fax: 239-334-7070 |
Chris Wilkinson, P.A. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4790 Barkley Cir, Building A, Ft Myers, FL 33907 Phone: 239-275-8882 Fax: 239-939-1330 |