| Scott Cooper, PA-C | |
|
266 Orvin Lance Dr Ste 5, Blue Ridge, GA 30513-8054 | |
| (706) 450-6602 | |
| (706) 450-6603 |
| Full Name | Scott Cooper |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 8 Years |
| Location | 266 Orvin Lance Dr Ste 5, Blue Ridge, Georgia |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184142879 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 13887 (Georgia) | Primary |
| Entity Name | Blue Ridge Mountain Ophthalmology LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689135576 PECOS PAC ID: 4880927813 Enrollment ID: O20190606002071 |
| Mailing Address | Practice Location Address |
|---|---|
| Scott Cooper, PA-C 266 Orvin Lance Dr Ste 5, Blue Ridge, GA 30513-8054 Ph: (706) 450-6602 | Scott Cooper, PA-C 266 Orvin Lance Dr Ste 5, Blue Ridge, GA 30513-8054 Ph: (706) 450-6602 |
Ms. Tracy L. Allen, P.A. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 101 Riverstone Vis, Suite 111, Blue Ridge, GA 30513 Phone: 706-946-4200 Fax: 706-946-4243 |
Lindsey Panter Niknezhad, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 101 Riverstone Vis, Blue Ridge, GA 30513 Phone: 706-632-4400 |
Olivia Ann Riemer, Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 2800 Scenic Dr # 4-94, Blue Ridge, GA 30513 Phone: 217-801-3906 |
Travis Keith Hardin, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 101 Riverstone Vis Ste 111, Blue Ridge, GA 30513 Phone: 706-946-4200 Fax: 706-492-3206 |