Dr Larry Cooper, MD | |
1401 River Rd, Greenwood, MS 38930-4030 | |
(662) 459-1440 | |
(601) 981-7792 |
Full Name | Dr Larry Cooper |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 1401 River Rd, Greenwood, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023078086 | NPI | - | NPPES |
080001597 | Other | MS | MEDICARE ID TYPE UNSPECIFIED |
00111401 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 12496 (Mississippi) | Primary |
Entity Name | Pioneer Health Services Of Monroe County, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083658595 PECOS PAC ID: 6305827478 Enrollment ID: O20040525001333 |
Entity Name | Claiborne County Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710238324 PECOS PAC ID: 0244394385 Enrollment ID: O20100809000770 |
Mailing Address | Practice Location Address |
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Dr Larry Cooper, MD Po Box 284, Canton, MS 39046-0284 Ph: (601) 201-6210 | Dr Larry Cooper, MD 1401 River Rd, Greenwood, MS 38930-4030 Ph: (662) 459-1440 |
Dr. Charles Lamar Nause Jr., DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 110 E Market St, Greenwood, MS 38930 Phone: 662-453-5460 Fax: 662-453-5551 | |
Dr. Valencia P Martin, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 517 Highway 82 W, Greenwood, MS 38930 Phone: 662-455-6767 Fax: 662-455-1774 | |
Dr. William Bretlee Jones, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 Grand Blvd, Greenwood, MS 38930 Phone: 662-453-1852 Fax: 662-455-3709 | |
Dr. John Phenis Hey Iii, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 405 River Rd, Greenwood, MS 38930 Phone: 662-453-6177 Fax: 662-453-7787 | |
Bahati Harden, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 102 Professional Pl, Greenwood, MS 38930 Phone: 662-451-7881 Fax: 662-451-7865 | |
Susan Jenay Neely, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 209 E Jefferson Ave, Greenwood, MS 38930 Phone: 662-392-8163 Fax: 601-944-9780 |