Dr Mark W Cooper, MD,MBA | |
2301 S Broad St, Suite 205a, Philadelphia, PA 19148-3542 | |
(215) 952-9153 | |
(215) 952-1255 |
Full Name | Dr Mark W Cooper |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 47 Years |
Location | 2301 S Broad St, Philadelphia, Pennsylvania |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1306831326 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 25MA07499200 (New Jersey) | Secondary |
2085R0202X | Radiology - Diagnostic Radiology | MD021440E (Pennsylvania) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Reono Bertagnolli A Medical Group | 6800709783 | 42 |
Entity Name | Symphony Diagnostic Services No 1 Llc |
---|---|
Entity Type | Part B Supplier - Portable X-ray Supplier |
Entity Identifiers | NPI Number: 1700865094 PECOS PAC ID: 5193638765 Enrollment ID: O20060913000187 |
Entity Name | Reono Bertagnolli A Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134424005 PECOS PAC ID: 6800709783 Enrollment ID: O20140502001387 |
Entity Name | Community Mobile Diagnostics Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023104007 PECOS PAC ID: 4789610643 Enrollment ID: O20161004002024 |
Entity Name | Community Mobile Ultrasound Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760620959 PECOS PAC ID: 4183761893 Enrollment ID: O20170407000173 |
Entity Name | American Diagnostics Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639140387 PECOS PAC ID: 1355241274 Enrollment ID: O20170519002150 |
Mailing Address | Practice Location Address |
---|---|
Dr Mark W Cooper, MD,MBA 2301 S Broad St, Suite 205a, Philadelphia, PA 19148-3542 Ph: (215) 952-9153 | Dr Mark W Cooper, MD,MBA 2301 S Broad St, Suite 205a, Philadelphia, PA 19148-3542 Ph: (215) 952-9153 |
Joel M Stein, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3400 Spruce St, Philadelphia, PA 19104 Phone: 215-662-3005 | |
Dr. Sarah Denise Fenerty, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3401 N Broad St, Philadelphia, PA 19140 Phone: 215-707-7237 Fax: 215-707-9389 | |
Joanie M Garratt, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3400 Spruce St, Philadelphia, PA 19104 Phone: 215-662-3000 Fax: 215-662-7011 | |
Ryan Mcclintock, MD Radiology Medicare: Medicare Enrolled Practice Location: 3400 Spruce Street, Philadelphia, PA 19104 Phone: 215-662-3000 Fax: 215-662-7011 | |
Dr. David P. Friedman, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 111 S 11th St, Suite 3390, Philadelphia, PA 19107 Phone: 215-955-2900 Fax: 215-923-1562 | |
Michel Bilello, MD, PHD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3400 Spruce St, 1 Silverstein, Philadelphia, PA 19104 Phone: 215-662-3005 | |
Jill E Langer, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3400 Spruce Street, Ground Floor Dulles, Philadelphia, PA 19104 Phone: 215-662-7012 Fax: 215-349-5627 |