| Cooper Family Medical Center Inc. | |
|
4305 Denny Ave Pascagoula MS 39581-5509 | |
| (228) 762-2044 | |
| (228) 762-2064 |
| Full Name | Cooper Family Medical Center Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 4305 Denny Ave, Pascagoula, Mississippi |
| Authorized Official Name and Position | Kevin S. Cooper (PRESIDENT) |
| Authorized Official Contact | 2287622044 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cooper Family Medical Center Inc. 4305 Denny Ave Pascagoula MS 39581-5509 Ph: (228) 762-2044 | Cooper Family Medical Center Inc. 4305 Denny Ave Pascagoula MS 39581-5509 Ph: (228) 762-2044 |
| NPI Number | 1356478564 |
|---|---|
| Provider Enumeration Date | 02/27/2007 |
| Last Update Date | 10/25/2017 |
| Medicare PECOS PAC ID | 2860560125 |
|---|---|
| Medicare Enrollment ID | O20081014000361 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356478564 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 13038 (Mississippi) | Primary |
| Provider Name | Kevin S Cooper |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1023267630 PECOS PAC ID: 3870495658 Enrollment ID: I20040122000665 |
| Provider Name | John C Elkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003122821 PECOS PAC ID: 8022204437 Enrollment ID: I20111031000513 |
| Provider Name | Ashley N Hilsabeck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134495443 PECOS PAC ID: 8921264177 Enrollment ID: I20130913000389 |
| Provider Name | Jason Keith Ely |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104595396 PECOS PAC ID: 4082002548 Enrollment ID: I20211102002819 |
| Provider Name | Hailey Morgan Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750161337 PECOS PAC ID: 2567813561 Enrollment ID: I20240125000070 |
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Ochsner Mississippi, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2712 Criswell Ave, Pascagoula, MS 39567 Phone: 228-762-0713 Fax: 228-769-7484 | |
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Inpatient Physician Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2809 Denny Ave, Pascagoula, MS 39581 Phone: 228-809-5510 Fax: 228-809-5519 | |
Pascagoula Clinic Of Chiropractic Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 421 Delmas Ave, Pascagoula, MS 39567 Phone: 228-205-3985 Fax: 228-205-3987 | |
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