Prue E Cooper, is a
Case Manager/care Coordinator based in South Pasadena, California. Prue E Cooper is licensed to practice in * (Not Available) (license number ) and her current practice location is
625 Fair Oaks Ave Ste 300, South Pasadena, California. She can be reached at her office (for appointments etc.) via phone at
(626) 441-4221.
NPI number for Prue E Cooper is 1629318738 and her current mailing address is 625 Fair Oaks Ave Ste 300, South Pasadena, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1629318738.
Healthcare Provider's Profile
| Full Name | Prue E Cooper |
|---|
| Gender | Female |
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| Speciality | Case Manager/care Coordinator |
|---|
| Location | 625 Fair Oaks Ave Ste 300, South Pasadena, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1629318738
- Provider Enumeration Date: 02/26/2013
- Last Update Date: 03/04/2024
Medical Identifiers
Medical identifiers for Prue E Cooper such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1629318738 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | LS05051221 (California) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 7597-R (California) | Secondary |
| 225400000X | Rehabilitation Practitioner | (* (Not Available)) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | 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. Prue E 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 |
|---|
Prue E Cooper,
625 Fair Oaks Ave Ste 300,
South Pasadena, CA 91030-5805
Ph: (626) 441-4221 | Prue E Cooper,
625 Fair Oaks Ave Ste 300,
South Pasadena, CA 91030-5805
Ph: (626) 441-4221 |
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