Mrs Jane M Cooper, NP is a
Nurse Practitioner - Family based in Mcclellanville, South Carolina. Mrs Jane M Cooper is licensed to practice in South Carolina (license number F3048) and her current practice location is
1189 Tibwin Road, Mcclellanville, South Carolina. She can be reached at her office (for appointments etc.) via phone at
(843) 887-3274.
NPI number for Mrs Jane M Cooper is 1790776722 and her current mailing address is P.o. Box 608, Mcclellanville, South Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1790776722.
Provider's Profile
| Full Name | Mrs Jane M Cooper |
|---|
| Gender | Female |
|---|
| Speciality | Nurse Practitioner - Family |
|---|
| Location | 1189 Tibwin Road, Mcclellanville, South Carolina |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1790776722
- Provider Enumeration Date: 10/31/2005
- Last Update Date: 08/29/2017
Medical Identifiers
Medical identifiers for Mrs Jane M Cooper such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1790776722 | NPI | - | NPPES |
| 0364690 | Medicaid | MA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LF0000X | Nurse Practitioner - Family | F3048 (South Carolina) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Jane M Cooper is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mrs Jane M Cooper, NP
P.o. Box 608,
Mcclellanville, SC 29458-0608
Ph: (843) 887-3274 | Mrs Jane M Cooper, NP
1189 Tibwin Road,
Mcclellanville, SC 29458-9405
Ph: (843) 887-3274 |
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