Zachary Mayne Cooper, PA-C - Medicare Physician Assistant in Logan, WV

Zachary Mayne Cooper, PA-C is a medicare enrolled "Physician Assistant - Medical" in Logan, West Virginia. His current practice location is 20 Hospital Dr, Logan, West Virginia. You can reach out to his office (for appointments etc.) via phone at (304) 831-1101.

Zachary Mayne Cooper is licensed to practice in Virginia (license number 0110009469) 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 1639805948.

Contact Information

Zachary Mayne Cooper, PA-C
20 Hospital Dr,
Logan, WV 25601-3452
(304) 831-1101
Not Available



Provider's Profile

Full NameZachary Mayne Cooper
GenderMale
SpecialityPhysician Assistant - Medical
Location20 Hospital Dr, Logan, West Virginia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1639805948
  • Provider Enumeration Date: 07/28/2022
  • Last Update Date: 08/14/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 8123495835
  • Enrollment ID: I20221109003374

Medical Identifiers

Medical identifiers for Zachary Mayne Cooper such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1639805948NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant (* (Not Available))Secondary
363AM0700XPhysician Assistant - Medical 0110009469 (Virginia)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. Zachary Mayne 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
Zachary Mayne Cooper, PA-C
1125 Old Graves Mill Rd,
Lynchburg, VA 24502-4313

Ph: () -
Zachary Mayne Cooper, PA-C
20 Hospital Dr,
Logan, WV 25601-3452

Ph: (304) 831-1101

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Physician Assistant Nurses in Logan, WV

Timothy Deskins, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 122 Nick Savas Dr, Logan, WV 25601
Phone: 304-752-8081    Fax: 304-752-8083
Casey Flint, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 20 Hospital Dr, Logan, WV 25601
Phone: 304-831-1101    
Ally Brogan Kirk,
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 400 Hudgins St Unit 504, Logan, WV 25601
Phone: 304-688-8028    
Benjamin D Adkins,
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 20 Hospital Dr, Logan, WV 25601
Phone: 304-831-1101    
Chelsea R May, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 20 Hospital Dr, Logan, WV 25601
Phone: 304-831-1497    
Rafael Modesto Rodighiero, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 122 Nick Savas Dr, Logan, WV 25601
Phone: 304-752-8081    Fax: 304-752-8083

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