Mac Cooper, PTA is a
Physical Medicine & Rehabilitation physician based in Salmon, Idaho. Mac Cooper is licensed to practice in Idaho (license number PTA5126) and his current practice location is 802 Shoup St, Salmon, Idaho. He can be reached at his office (for appointments etc.) via phone at
(208) 756-2005.
NPI number for Mac Cooper is 1831627710 and his current mailing address is Po Box 1107, Salmon, Idaho. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1831627710.
Physician's Profile
| Full Name | Mac Cooper |
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| Gender | Male |
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| Speciality | Physical Medicine & Rehabilitation |
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| Location | 802 Shoup St, Salmon, Idaho |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1831627710
- Provider Enumeration Date: 05/23/2017
- Last Update Date: 05/23/2017
Medical Identifiers
Medical identifiers for Mac Cooper such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1831627710 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208100000X | Physical Medicine & Rehabilitation | PTA5126 (Idaho) | 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. Mac 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 |
|---|
Mac Cooper, PTA
Po Box 1107,
Salmon, ID 83467-1107
Ph: (208) 756-2005 | Mac Cooper, PTA
802 Shoup St,
Salmon, ID 83467-4305
Ph: (208) 756-2005 |
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