Shannon Swift Cooper, MD | |
1309 W Main St, Walnut Ridge, AR 72476-1430 | |
(870) 886-3211 | |
(870) 886-3616 |
Full Name | Shannon Swift Cooper |
---|---|
Gender | Female |
Speciality | Internal Medicine |
Experience | 15 Years |
Location | 1309 W Main St, Walnut Ridge, Arkansas |
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 |
---|---|---|---|
1013141621 | NPI | - | NPPES |
296613 | Medicaid | AR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | E8066 (Arkansas) | Secondary |
207R00000X | Internal Medicine | E8066 (Arkansas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Lawrence Memorial Hospital | Walnut ridge, AR | Hospital |
St Bernards Medical Center | Jonesboro, AR | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Lawrence Memorial Health Foundation Inc | 9436305836 | 8 |
Entity Name | Lawrence Memorial Health Foundation Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528052107 PECOS PAC ID: 9436305836 Enrollment ID: O20191029002135 |
Entity Name | Lawrence Memorial Health Foundation Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962626770 PECOS PAC ID: 9436305836 Enrollment ID: O20191030002298 |
Mailing Address | Practice Location Address |
---|---|
Shannon Swift Cooper, MD Po Box 839, Walnut Ridge, AR 72476-0839 Ph: (870) 886-3211 | Shannon Swift Cooper, MD 1309 W Main St, Walnut Ridge, AR 72476-1430 Ph: (870) 886-3211 |
Paul Vellozo, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1309 West Main St, Family Medical Center, Walnut Ridge, AR 72476 Phone: 870-886-3211 Fax: 870-886-9027 | |
Mrs. Samantha L. Hatfield, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1309 West Main Street, Walnut Ridge, AR 72476 Phone: 870-886-3211 Fax: 870-886-9027 |