Koren F Cooper, PA-C is a medicare enrolled "Physician Assistant" in South Chesterfield, Virginia. Her current practice location is
16011 Kairos Rd, Suite 300, South Chesterfield, Virginia. You can reach out to her office (for appointments etc.) via phone at
(804) 520-5223.
Koren F Cooper is licensed to practice in Virginia (license number 0110005485) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1881947893.
Provider's Profile
Full Name | Koren F Cooper |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 16011 Kairos Rd, South Chesterfield, Virginia |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1881947893
- Provider Enumeration Date: 10/16/2012
- Last Update Date: 09/06/2018
Medicare PECOS Information:
- PECOS PAC ID: 6204088297
- Enrollment ID: I20121221000293
Medical Identifiers
Medical identifiers for Koren F Cooper such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1881947893 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | 0010-03871 (North Carolina) | Secondary |
363A00000X | Physician Assistant | 0110005485 (Virginia) | 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. Koren F Cooper is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Koren F Cooper, PA-C 107 Wadsworth Dr, North Chesterfield, VA 23236-4521 Ph: (804) 330-4901 | Koren F Cooper, PA-C 16011 Kairos Rd, Suite 300, South Chesterfield, VA 23834 Ph: (804) 520-5223 |
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