Dylan M Cooper, MD, PHARMD is a medicare enrolled "Anesthesiology" provider in Augusta, Georgia. His current practice location is
1120 15th Street Bi W2144, Augusta, Georgia. You can reach out to his office (for appointments etc.) via phone at
(706) 721-0180.
Dylan M Cooper is licensed to practice in Georgia (license number 16459) 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 1043790207.
Healthcare Provider's Profile
Full Name | Dylan M Cooper |
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Gender | Male |
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Speciality | Anesthesiology |
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Location | 1120 15th Street Bi W2144, Augusta, Georgia |
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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: 1043790207
- Provider Enumeration Date: 08/17/2018
- Last Update Date: 06/25/2024
Medicare PECOS Information:
- PECOS PAC ID: 6800332594
- Enrollment ID: I20240717004963
Medical Identifiers
Medical identifiers for Dylan M Cooper such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1043790207 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1835P0018X | Pharmacist - Pharmacist Clinician (phc)/ Clinical Pharmacy Specialist | 37723 (South Carolina) | Secondary |
207L00000X | Anesthesiology | 16459 (Georgia) | 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. Dylan M 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 |
Dylan M Cooper, MD, PHARMD 1120 15th Street Bi W2144, Augusta, GA 30912 Ph: (706) 721-0180 | Dylan M Cooper, MD, PHARMD 1120 15th Street Bi W2144, Augusta, GA 30912 Ph: (706) 721-0180 |
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