Mr Timothy Lee Cooper, PA-C is a medicare enrolled "Physician Assistant" in Conrad, Iowa. His current practice location is
105 Church, Box 40, Conrad, Iowa. You can reach out to his office (for appointments etc.) via phone at
(641) 366-2123.
Mr Timothy Lee Cooper is licensed to practice in Iowa (license number 001336) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1366427767.
Provider's Profile
Full Name | Mr Timothy Lee Cooper |
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Gender | Male |
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Speciality | Physician Assistant |
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Location | 105 Church, Conrad, Iowa |
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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: 1366427767
- Provider Enumeration Date: 12/08/2005
- Last Update Date: 07/05/2022
Medicare PECOS Information:
- PECOS PAC ID: 6901960707
- Enrollment ID: I20090122000471
Medical Identifiers
Medical identifiers for Mr Timothy Lee Cooper such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1366427767 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | 001336 (Iowa) | 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. Mr Timothy Lee 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 |
Mr Timothy Lee Cooper, PA-C 105 Church Street, Box 40, Conrad, IA 50621 Ph: (641) 366-2123 | Mr Timothy Lee Cooper, PA-C 105 Church, Box 40, Conrad, IA 50621-0040 Ph: (641) 366-2123 |
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