Lynn D Cooper, MD | |
2275 Northwest Parkway Se, Suite 140, Marietta, GA 30067-9319 | |
(770) 951-1793 | |
(770) 612-3380 |
Full Name | Lynn D Cooper |
---|---|
Gender | Male |
Speciality | Pathology |
Experience | 21 Years |
Location | 2275 Northwest Parkway Se, Marietta, Georgia |
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 |
---|---|---|---|
1366658437 | NPI | - | NPPES |
268886060A | Medicaid | GA | |
460052 | Other | GA | WELLCARE |
1366658437 | Other | GA | TRICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ZD0900X | Pathology - Dermatopathology | 061056 (Georgia) | Secondary |
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 061056 (Georgia) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Georgia Skin Cancer And Aestheitic Dermatology, Llc | 0244328649 | 20 |
Skin Cancer Specialists P C | 6800885757 | 41 |
Naaman Clinic, Llc | 5799082699 | 7 |
Entity Name | Skin Cancer Specialists P C |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114022167 PECOS PAC ID: 6800885757 Enrollment ID: O20040507000201 |
Entity Name | Georgia Skin Cancer & Aestheitic Dermatology, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205026168 PECOS PAC ID: 0244328649 Enrollment ID: O20071119000529 |
Mailing Address | Practice Location Address |
---|---|
Lynn D Cooper, MD 14275 Midway Rd, Suite 400, Addison, TX 75001-3614 Ph: (770) 951-1793 | Lynn D Cooper, MD 2275 Northwest Parkway Se, Suite 140, Marietta, GA 30067-9319 Ph: (770) 951-1793 |
Burton Kim, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 677 Church St Ne, Marietta, GA 30060 Phone: 770-793-5000 | |
Dr. Weijian Zhu, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 488 Kennesaw Ave Nw, Marietta, GA 30060 Phone: 404-888-7575 Fax: 678-631-4624 | |
Dr. Sara Nolting, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 677 Church St Ne, Marietta, GA 30060 Phone: 770-793-5435 | |
Dr. Sara Elizabeth Nash, M.D. Pathology Medicare: Medicare Enrolled Practice Location: 2275 Northwest Parkway Se, Suite 140, Marietta, GA 30067 Phone: 770-951-1793 | |
Dr. Carol P Crisco, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 677 Church St Ne, Marietta, GA 30060 Phone: 770-793-5435 | |
Haohai Liang, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 677 Church St Ne, Marietta, GA 30060 Phone: 770-793-5505 Fax: 770-793-7919 | |
Dr. Aimee Popp, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 677 Church St Ne, Marietta, GA 30060 Phone: 770-793-5435 Fax: 770-793-5472 |