Mrs Mary Lane Cooper, PA/C in Claxton, GA

Mrs Mary Lane Cooper, PA/C is a Physician Assistant - Medical based in Claxton, Georgia. Mrs Mary Lane Cooper is licensed to practice in Georgia (license number 1586) and her current practice location is 3609 Bill Hodges Rd, Claxton, Georgia. She can be reached at her office (for appointments etc.) via phone at (912) 739-4807.

NPI number for Mrs Mary Lane Cooper is 1508116765 and her current mailing address is 3609 Bill Hodges Rd, Claxton, Georgia. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1508116765.

Contact Information

	Mrs Mary Lane Cooper, PA/C
	3609 Bill Hodges Rd, Claxton, GA 30417-6235
	(912) 739-4807
	(912) 739-2939

Map and Direction

Provider's Profile

Full Name	Mrs Mary Lane Cooper
Gender	Female
Speciality	Physician Assistant - Medical
Location	3609 Bill Hodges Rd, Claxton, Georgia
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1508116765
Provider Enumeration Date: 09/14/2012
Last Update Date: 09/14/2012

Medical Identifiers

Medical identifiers for Mrs Mary Lane Cooper such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1508116765	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363AM0700X	Physician Assistant - Medical	1586 (Georgia)	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 Mary Lane 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 Mary Lane Cooper, PA/C 3609 Bill Hodges Rd, Claxton, GA 30417-6235 Ph: (912) 739-4807	Mrs Mary Lane Cooper, PA/C 3609 Bill Hodges Rd, Claxton, GA 30417-6235 Ph: (912) 739-4807

Reviews and Comments

Physician Assistant Nurses in Claxton, GA

Mr. Joshua Robert Pacut, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 8816 Us Highway 301, Claxton, GA 30417 Phone: 912-739-3019
Mrs. Heather Strickland Miller, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 209 North River Street, Claxton, GA 30417 Phone: 912-739-3275 Fax: 912-736-4011
Radonna Rae Stevenson-pirkle, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 200 N River St., Claxton, GA 30417 Phone: 912-739-5252

Mrs Mary Lane Cooper, PA/C - Physician Assistant in Claxton, GA