Mr Jason Tyrone Cooper, is a
Community Health Worker based in North Highlands, California. Mr Jason Tyrone Cooper is licensed to practice in California (license number ) and his current practice location is
3628 Madison Ave Ste 7, North Highlands, California. He can be reached at his office (for appointments etc.) via phone at
(916) 840-1413.
NPI number for Mr Jason Tyrone Cooper is 1750921110 and his current mailing address is 3628 Madison Ave Ste 7, North Highlands, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1750921110.
Healthcare Provider's Profile
| Full Name | Mr Jason Tyrone Cooper |
|---|
| Gender | Male |
|---|
| Speciality | Community Health Worker |
|---|
| Location | 3628 Madison Ave Ste 7, North Highlands, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1750921110
- Provider Enumeration Date: 01/13/2020
- Last Update Date: 11/22/2022
Medical Identifiers
Medical identifiers for Mr Jason Tyrone Cooper such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1750921110 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Secondary |
| 172V00000X | Community Health Worker | (California) | 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. Mr Jason Tyrone 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 |
|---|
Mr Jason Tyrone Cooper,
3628 Madison Ave Ste 7,
North Highlands, CA 95660-5070
Ph: (916) 567-4222 | Mr Jason Tyrone Cooper,
3628 Madison Ave Ste 7,
North Highlands, CA 95660-5070
Ph: (916) 840-1413 |
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