Mrs. Stacy Cooper, PA-C
Mrs. Stacy Cooper, PA-C is a Physician Assistant in Blackfoot, Idaho. Qualified in 2006, 20 years ago. Practices with St Lukes Clinic-Treasure Valley LLC, a 1,150-clinician group and accepts Medicare assignment. Licensed in Idaho.
- Years since qualifying
- 20
- Licensed in
- ID
- In the registry since
- 2007
What do these letters mean?
- PA-C — Physician Assistant, Certified
- A physician assistant who holds current national certification.
Practice location Address checks out
98 Poplar StBlackfoot, ID 83221-1758
Phone: (208) 785-4100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Medical Physician Assistant (primary) | Taxonomy 363AM0700X · Licence PA648 (ID) |
|---|
Record details
| NPI number | 1518157544 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PA-C |
| Sole proprietor | No |
| NPI enumerated | July 26, 2007 |
| Last updated in NPPES | May 1, 2009 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2006 (20 years in practice) |
| Group practice | St Lukes Clinic-Treasure Valley Llc — 1150 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 4 on file with Medicare |
Other providers in Blackfoot
-
Scott Ryan Mangum, PA-C
98 Poplar St, Blackfoot, ID 83221-1799 · (208) 785-4100
-
Justin Gregg Nelson, PA-C
98 Poplar St, Blackfoot, ID 83221-1758 · (208) 785-4100
-
Shawna Marie Reynolds, PA
1441 Parkway Dr, Blackfoot, ID 83221-0000 · (208) 785-2600