| Michelle A Cooper, PAC | |
|
801 S Adams St, Petersburg, VA 23803-5149 | |
| (804) 862-5000 | |
| Not Available |
| Full Name | Michelle A Cooper |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 801 S Adams St, Petersburg, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073624888 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 0110840698 (Virginia) | Primary |
| Entity Name | Providence Anesthesiology Associates PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396739884 PECOS PAC ID: 3971566761 Enrollment ID: O20041111000930 |
| Entity Name | Western Carolina Emergency Physicians, PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134391758 PECOS PAC ID: 8921171190 Enrollment ID: O20080721000746 |
| Mailing Address | Practice Location Address |
|---|---|
| Michelle A Cooper, PAC 13916 Howlett Line Dr, Colonial Heights, VA 23834-5865 Ph: Not Available | Michelle A Cooper, PAC 801 S Adams St, Petersburg, VA 23803-5149 Ph: (804) 862-5000 |
Douglas Cohrs, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 200 Medical Park Blvd, Petersburg, VA 23805 Phone: 703-431-9975 |
Brian Wayne Mccauley, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 200 Medical Park Blvd, Petersburg, VA 23805 Phone: 804-765-5000 |
Joshua Harris, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 25 S Union St, Petersburg, VA 23803 Phone: 804-957-9601 |
Corwin Bernard, Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 200 Medical Park Blvd, Petersburg, VA 23805 Phone: 480-600-0948 |
Nina Thi Ong-pham, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 200 Medical Park Blvd, Petersburg, VA 23805 Phone: 804-765-5000 |
Miss Shrinal Suryakant Patel, P.A.-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 200 Medical Park Blvd, Petersburg, VA 23805 Phone: 804-765-5000 |
Krysten M Bishop, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 200 Medical Park Blvd, Petersburg, VA 23805 Phone: 804-765-5000 |