| Ms Mekenzie Cooper, APRN | |
|
361 E 1200 S Ste 201, Orem, UT 84058-6904 | |
| (801) 224-3014 | |
| (801) 224-4914 |
| Full Name | Ms Mekenzie Cooper |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 14 Years |
| Location | 361 E 1200 S Ste 201, Orem, Utah |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861701344 | NPI | - | NPPES |
| 876000308007 | Medicaid | UT | |
| 260022408 | Other | UT | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 5646800-4405 (Utah) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Alliance Behavioral Psychiatry, Llc | 7214029743 | 10 |
| Entity Name | Alliance Behavioral Psychiatry, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306873062 PECOS PAC ID: 7214029743 Enrollment ID: O20070828000820 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Mekenzie Cooper, APRN 361 E 1200 S Ste 201, Orem, UT 84058-6904 Ph: (801) 224-3014 | Ms Mekenzie Cooper, APRN 361 E 1200 S Ste 201, Orem, UT 84058-6904 Ph: (801) 224-3014 |
Jennifer Lynn Osborne, APRN, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 700 W 800 N Ste 444, Orem, UT 84057 Phone: 801-714-6412 | |
Jorge Arturo Delgadillo, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 750 W 800 N, Orem, UT 84057 Phone: 801-714-6000 | |
Sarah Wolfe, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1086 N 1200 W, Orem, UT 84057 Phone: 801-226-5246 | |
Jaycee Lyn Fausett, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 153 N 400 W, St B-6, Orem, UT 84057 Phone: 801-921-2260 | |
Caitlin Aubrey Bozek, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 920 E 800 N Ste 101, Orem, UT 84097 Phone: 801-742-8439 | |
Amanda Lee Jones, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 527 W 400 N Ste 4, Orem, UT 84057 Phone: 801-714-3388 | |
Abby Juvan Tomlinson, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1790 N State St, Orem, UT 84057 Phone: 801-224-8255 |