| Mr Timothy Lee Cooper, PA-C | |
|
105 Church, Box 40, Conrad, IA 50621-0040 | |
| (641) 366-2123 | |
| (641) 366-2143 |
| Full Name | Mr Timothy Lee Cooper |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 25 Years |
| Location | 105 Church, Conrad, Iowa |
| 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 |
|---|---|---|---|
| 1366427767 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 001336 (Iowa) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Unitypoint At Home | Waterloo, IA | Home health agency |
| Unitypoint Health - Marshalltown | Marshalltown, IA | Hospital |
| Grundy County Memorial Hospital | Grundy center, IA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Unitypoint Health - Marshalltown | 0941587307 | 24 |
| Entity Name | Iowa Physicians Clinic Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366425274 PECOS PAC ID: 8729992318 Enrollment ID: O20031118000363 |
| Entity Name | Unitypoint Health - Marshalltown |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164957593 PECOS PAC ID: 0941587307 Enrollment ID: O20170608002304 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Timothy Lee Cooper, PA-C 105 Church Street, Box 40, Conrad, IA 50621 Ph: (641) 366-2123 | Mr Timothy Lee Cooper, PA-C 105 Church, Box 40, Conrad, IA 50621-0040 Ph: (641) 366-2123 |
Norma Sogge, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 105 Church St, Conrad, IA 50621 Phone: 641-366-2123 Fax: 641-366-2143 |