Jenna Joe Rose Cooper, PA-C - Medicare Dermatology in Oxford, MS

Jenna Joe Rose Cooper, PA-C is a medicare enrolled "Dermatology" physician in Oxford, Mississippi. Her current practice location is 2204 Jefferson Davis Dr, Oxford, Mississippi. You can reach out to her office (for appointments etc.) via phone at (662) 316-6133.

Jenna Joe Rose Cooper is licensed to practice in Mississippi (license number PA00382) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1427535079.

Contact Information

Jenna Joe Rose Cooper, PA-C
2204 Jefferson Davis Dr,
Oxford, MS 38655-5222
(662) 316-6133
Not Available



Physician's Profile

Full NameJenna Joe Rose Cooper
GenderFemale
SpecialityDermatology
Location2204 Jefferson Davis Dr, Oxford, Mississippi
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1427535079
  • Provider Enumeration Date: 07/26/2018
  • Last Update Date: 07/26/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 1557614617
  • Enrollment ID: I20181019001490

Medical Identifiers

Medical identifiers for Jenna Joe Rose Cooper such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1427535079NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207N00000XDermatology PA00382 (Mississippi)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. Jenna Joe Rose 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 AddressPractice Location Address
Jenna Joe Rose Cooper, PA-C
2204 Jefferson Davis Dr,
Oxford, MS 38655-5222

Ph: (662) 316-6133
Jenna Joe Rose Cooper, PA-C
2204 Jefferson Davis Dr,
Oxford, MS 38655-5222

Ph: (662) 316-6133

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Dermatology Doctors in Oxford, MS

Dr. Lyndsay R Shipp, M.D.
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 1626 Highway 30 East, Oxford, MS 38655
Phone: 662-371-1326    Fax: 662-371-1325
Philip R Loria Jr., MD
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 2204 Jefferson Davis Drive, Oxford, MS 38655
Phone: 662-236-6850    Fax: 662-236-5010

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