Ellen Michele Cooper, MD | |
10051 Lake Ave Ste 4, Truckee, CA 96161-4870 | |
(530) 587-7698 | |
Not Available |
Full Name | Ellen Michele Cooper |
---|---|
Gender | Female |
Speciality | General Surgery |
Experience | 19 Years |
Location | 10051 Lake Ave Ste 4, Truckee, California |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003920596 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | ML20008204 (Washington) | Secondary |
208600000X | Surgery | A116674 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Tahoe Forest Hospital | Truckee, CA | Hospital |
Incline Village Community Hospital | Incline village, NV | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Tahoe Forest Hospital District | 0446161335 | 111 |
Entity Name | Tahoe Forest Hospital District |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750412300 PECOS PAC ID: 0446161335 Enrollment ID: O20050329001397 |
Entity Name | Tahoe Forest Hospital District |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1538265780 PECOS PAC ID: 0446161335 Enrollment ID: O20080409000581 |
Mailing Address | Practice Location Address |
---|---|
Ellen Michele Cooper, MD 10051 Lake Ave Ste 4, Truckee, CA 96161-4870 Ph: (530) 587-7698 | Ellen Michele Cooper, MD 10051 Lake Ave Ste 4, Truckee, CA 96161-4870 Ph: (530) 587-7698 |
Howard A Boone, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 10956 Donner Pass Rd Ste 310, Truckee, CA 96161 Phone: 530-587-1272 Fax: 530-587-2015 | |
Dr. David G. Kitts, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 10956 Donner Pass Rd, Suite 210, Truckee, CA 96161 Phone: 530-550-8189 Fax: 530-550-8169 | |
Lawrence A Danto, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 10956 Donner Pass Rd, Suite 310, Truckee, CA 96161 Phone: 530-587-8801 Fax: 530-587-2015 |