MEDICARE: JOANNE FENDERSON COCHRANE M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207W00000X	Ophthalmology Physician	G38720	CA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	DA8251	OTHER		RAILROAD MEDICARE #

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	6803568590000E	OTHER		BLUE CROSS, BLUE SHIELD

General Provider Information

NPI Number	:	1487650560
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOANNE FENDERSON COCHRANE M.D.

Provider Business Mailing Address
First Line	:	4196 DURHAM PENTZ RD
Second Line	:
City	:	BUTTE VALLEY
State	:	CA
Zip	:	95965-9167
Country	:	US
Telephone Number	:	530-533-4500
Fax Number	:	530-533-5643

Provider Business Practice Location Address
First Line	:	2981 OLIVE HWY
Second Line	:
City	:	OROVILLE
State	:	CA
Zip	:	95966-6109
Country	:	US
Telephone Number	:	530-533-4500
Fax Number	:	530-533-5643

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/23/2005
Last Update Date	:	04/27/2017

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