Ms Sandra M Cooper, CRNP is a
Nurse Practitioner - Adult Health based in Leesport, Pennsylvania. Ms Sandra M Cooper is licensed to practice in Pennsylvania (license number SP010119) and her current practice location is
5479 Pottsville Pike, Leesport, Pennsylvania. She can be reached at her office (for appointments etc.) via phone at
(610) 916-1050.
NPI number for Ms Sandra M Cooper is 1750614483 and her current mailing address is 2442 Brodhead Rd, Bethlehem, Pennsylvania. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1750614483.
Provider's Profile
Full Name | Ms Sandra M Cooper |
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Gender | Female |
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Speciality | Nurse Practitioner - Adult Health |
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Location | 5479 Pottsville Pike, Leesport, Pennsylvania |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1750614483
- Provider Enumeration Date: 09/14/2009
- Last Update Date: 05/02/2016
Medical Identifiers
Medical identifiers for Ms Sandra M Cooper such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1750614483 | NPI | - | NPPES |
102509963 | Medicaid | PA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LA2200X | Nurse Practitioner - Adult Health | SP010119 (Pennsylvania) | 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. Ms Sandra M Cooper is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Ms Sandra M Cooper, CRNP 2442 Brodhead Rd, Bethlehem, PA 18020-8910 Ph: (610) 758-8011 | Ms Sandra M Cooper, CRNP 5479 Pottsville Pike, Leesport, PA 19533-8633 Ph: (610) 916-1050 |
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