Mr Jack Marshall Cooper, MD | |
470 Taylor Rd, Suite 202, Montgomery, AL 36117-3563 | |
(334) 244-6773 | |
(334) 244-4234 |
Full Name | Mr Jack Marshall Cooper |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 17 Years |
Location | 470 Taylor Rd, Montgomery, Alabama |
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 |
---|---|---|---|
1255511572 | NPI | - | NPPES |
5920296 | Medicaid | NC | |
149171 | Medicaid | AL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 2012-00248 (North Carolina) | Secondary |
208600000X | Surgery | 32228 (Alabama) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Baptist Medical Center East | Montgomery, AL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Health Care Authority For Baptist Health, An Affiliate Of Uabhs | 8426076670 | 191 |
Entity Name | Health Care Authority For Baptist Health, An Affiliate Of Uabhs |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982653390 PECOS PAC ID: 8426076670 Enrollment ID: O20060220000538 |
Mailing Address | Practice Location Address |
---|---|
Mr Jack Marshall Cooper, MD 301 Brown Springs Rd, Montgomery, AL 36117-7005 Ph: (334) 747-4159 | Mr Jack Marshall Cooper, MD 470 Taylor Rd, Suite 202, Montgomery, AL 36117-3563 Ph: (334) 244-6773 |
Dr. William N Veale Jr., MD, MPH Surgery Medicare: Accepting Medicare Assignments Practice Location: 1758 Park Pl Ste 300, Montgomery, AL 36106 Phone: 334-293-8922 Fax: 334-293-6820 | |
Dr. Irwin Christopher White-gittens, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1758 Park Pl, Montgomery, AL 36106 Phone: 334-293-3210 | |
Dr. Ahmed Raza, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 2055 E South Blvd Ste 503, Montgomery, AL 36116 Phone: 334-284-6500 Fax: 334-284-6202 | |
Dr. Alexander Vaugh Kreher Jr., M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 1801 Pine St, Suite 202, Montgomery, AL 36106 Phone: 334-265-9888 | |
Dr. Richard Lee Mullins Jr., MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2055 E South Blvd, Suite 601, Montgomery, AL 36116 Phone: 334-747-2999 Fax: 334-747-7276 | |
Jacob Anderson, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 2055 E South Blvd Ste 601, Montgomery, AL 36116 Phone: 334-747-2999 | |
Dr. Gary Dean Harmon, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1801 Pine St Ste 101, Montgomery, AL 36106 Phone: 334-293-8138 Fax: 334-293-8134 |