| Mr Robert James Cooper, CRNA | |
|
4061 Old Peshtigo Rd, Marinette, WI 54143 | |
| (715) 732-8000 | |
| (715) 732-8148 |
| Full Name | Mr Robert James Cooper |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 25 Years |
| Location | 4061 Old Peshtigo Rd, Marinette, Wisconsin |
| 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 |
|---|---|---|---|
| 1558370510 | NPI | - | NPPES |
| 43402300 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 115444-030 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Bellin Health Oconto Hospital | Oconto, WI | Hospital |
| Bellin Memorial Hospital | Green bay, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Bellin Anesthesia Associates Sc | 1254357684 | 30 |
| Entity Name | Oconto Hospital & Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356373302 PECOS PAC ID: 2163461781 Enrollment ID: O20050713000836 |
| Entity Name | Bellin Anesthesia Associates Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558318410 PECOS PAC ID: 1254357684 Enrollment ID: O20051014000796 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Robert James Cooper, CRNA 744 S Webster Ave, Green Bay, WI 54301-3505 Ph: (920) 445-7226 | Mr Robert James Cooper, CRNA 4061 Old Peshtigo Rd, Marinette, WI 54143 Ph: (715) 732-8000 |
Brian Ceranski, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3003 University Dr, Marinette, WI 54143 Phone: 715-735-4200 | |
Willis Fisher, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 617 S Raymond St, Marinette, WI 54143 Phone: 715-732-8855 | |
Michael Swanson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3003 University Dr, Marinette, WI 54143 Phone: 715-735-4200 | |
Frank Ziemke, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3003 University Dr, Marinette, WI 54143 Phone: 715-735-4200 Fax: 715-735-8019 | |
Mr. Robert M Kelly, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 4061 Old Peshtigo Rd, Marinette, WI 54143 Phone: 715-732-8000 Fax: 715-732-8148 | |
Nathan Jay Herrild, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3003 University Dr, Marinette, WI 54143 Phone: 715-735-4200 |