| Justin Cooper, PHYSICIAN ASSISTANT | |
|
333 N Dobson Rd Ste 15, Chandler, AZ 85224-4412 | |
| (480) 282-8336 | |
| Not Available |
| Full Name | Justin Cooper |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 333 N Dobson Rd Ste 15, Chandler, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447816152 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 364SA2200X | Clinical Nurse Specialist - Adult Health | 7442 (Arizona) | Secondary |
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
| Entity Name | Siren Medical PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073148326 PECOS PAC ID: 6608298419 Enrollment ID: O20200624002619 |
| Entity Name | Tec Emergency Physicians of Arizona, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245772870 PECOS PAC ID: 6204256084 Enrollment ID: O20201016000157 |
| Mailing Address | Practice Location Address |
|---|---|
| Justin Cooper, PHYSICIAN ASSISTANT 333 N Dobson Rd Ste 15, Chandler, AZ 85224-4412 Ph: (480) 282-8336 | Justin Cooper, PHYSICIAN ASSISTANT 333 N Dobson Rd Ste 15, Chandler, AZ 85224-4412 Ph: (480) 282-8336 |
Sarah Wilson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 485 S Dobson Rd Ste 201, Chandler, AZ 85224 Phone: 480-728-4981 Fax: 480-728-4985 |
Reichard Andres Ruiz-perez, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 910 E Pecos Rd, Chandler, AZ 85225 Phone: 480-360-4000 |
Carol B Brennan, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 475 S Dobson Rd, Chandler, AZ 85224 Phone: 480-728-3753 Fax: 480-728-3305 |
Cassandra Dorame, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1050 E Ray Rd Ste 4a, Chandler, AZ 85225 Phone: 480-659-2000 Fax: 480-659-3201 |
Alicia Lynn Burns, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 333 N Dobson Rd Ste 15, Chandler, AZ 85224 Phone: 480-282-8336 |
Emily Montague, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2055 W Frye Rd Ste 9, Chandler, AZ 85224 Phone: 480-821-3600 |
Bushra Mahmood, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1940 W Chilton Dr, Chandler, AZ 85224 Phone: 559-761-9334 |