Mrs Stacy Cooper, PA-C in Blackfoot, ID - Medicare Physician Assistant

Mrs Stacy Cooper, PA-C is a medicare enrolled "Physician Assistant - Medical" in Blackfoot, Idaho. She graduated from nursing school in 2006 and has 18 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice St Lukes Clinic-treasure Valley Llc and her current practice location is 98 Poplar St, Blackfoot, Idaho. You can reach out to her office (for appointments etc.) via phone at (208) 785-4100.

Mrs Stacy Cooper is licensed to practice in Idaho (license number PA648) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1518157544.

Contact Information

	Mrs Stacy Cooper, PA-C
	98 Poplar St, Blackfoot, ID 83221-1758
	(208) 785-4100
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Stacy Cooper
Gender	Female
Speciality	Physician Assistant
Experience	18 Years
Location	98 Poplar St, Blackfoot, Idaho
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Stacy Cooper graduated from nursing school in 2006

NPI Data:

NPI Number: 1518157544
Provider Enumeration Date: 07/26/2007
Last Update Date: 05/01/2009

Medicare PECOS Information:

PECOS PAC ID: 8224188347
Enrollment ID: I20090611000468

Medical Identifiers

Medical identifiers for Mrs Stacy Cooper such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1518157544	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363AM0700X	Physician Assistant - Medical	PA648 (Idaho)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
St Luke's Regional Medical Center	Boise, ID	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
St Lukes Clinic-treasure Valley Llc	4981878402	991

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. Mrs Stacy 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
Mrs Stacy Cooper, PA-C 98 Poplar St, Blackfoot, ID 83221-1758 Ph: (208) 785-4100	Mrs Stacy Cooper, PA-C 98 Poplar St, Blackfoot, ID 83221-1758 Ph: (208) 785-4100

Reviews and Comments

Physician Assistant Nurses in Blackfoot, ID

John Todd Allen, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 700 E Alice St, Blackfoot, ID 83221 Phone: 208-785-1200
Beverly Hanson, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 98 Poplar St, Blackfoot, ID 83221 Phone: 208-782-3993 Fax: 208-782-3994
Alyssa M Woodbury, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 98 Poplar St, Blackfoot, ID 83221 Phone: 208-785-2220
Shawna Marie Reynolds, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 1441 Parkway Dr, Blackfoot, ID 83221 Phone: 208-785-2600 Fax: 208-785-1762
Heather Faye Grimmett, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1441 Parkway Dr, Blackfoot, ID 83221 Phone: 208-785-2600
Lucas P Belford, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 700 E Alice St, Blackfoot, ID 83221 Phone: 208-785-1200
Ryan Blair Killpack, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 98 Poplar St, Blackfoot, ID 83221 Phone: 208-785-4100

Mrs Stacy Cooper, PA-C - Medicare Physician Assistant in Blackfoot, ID