Loretta F Coppage, LCSW | |
404 Steve Dr, Russell Springs, KY 42642-4622 | |
(270) 866-3161 | |
(270) 866-3163 |
Full Name | Loretta F Coppage |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 404 Steve Dr, Russell Springs, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1598387045 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 254697 (Kentucky) | Primary |
Entity Name | Cumberland Family Medical Center, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306873500 PECOS PAC ID: 6305947789 Enrollment ID: O20120221000433 |
Mailing Address | Practice Location Address |
---|---|
Loretta F Coppage, LCSW Po Box 1080, Burkesville, KY 42717-1080 Ph: (270) 858-6655 | Loretta F Coppage, LCSW 404 Steve Dr, Russell Springs, KY 42642-4622 Ph: (270) 866-3161 |
Alexandria F Lawson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 404 Steve Dr, Russell Springs, KY 42642 Phone: 270-866-3161 Fax: 270-866-3163 | |
Jana K Bowmer, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 404 Steve Dr, Russell Springs, KY 42642 Phone: 270-866-3161 Fax: 270-866-3163 | |
Dewey Rains, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 404 Steve Dr Ste 102, Russell Springs, KY 42642 Phone: 606-866-3161 Fax: 606-866-3163 | |
Tara N Buchanan, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 404 Steve Dr, Russell Springs, KY 42642 Phone: 270-866-3161 Fax: 270-866-3163 |