Kevin Coppelson, DDS, MD in Los Angeles, CA

Kevin Coppelson, DDS, MD is a medicare enrolled "Dentist - Oral And Maxillofacial Surgery" provider in Los Angeles, California. His current practice location is 10921 Wilshire Blvd Ste 912, Los Angeles, California. You can reach out to his office (for appointments etc.) via phone at (310) 579-9710.

Kevin Coppelson is licensed to practice in California (license number 101077) 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 1225322019.

Contact Information

	Kevin Coppelson, DDS, MD
	10921 Wilshire Blvd Ste 912, Los Angeles, CA 90024
	(310) 579-9710
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kevin Coppelson
Gender	Male
Speciality	Dentist - Oral And Maxillofacial Surgery
Location	10921 Wilshire Blvd Ste 912, Los Angeles, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1225322019
Provider Enumeration Date: 06/08/2011
Last Update Date: 10/31/2019

Medicare PECOS Information:

PECOS PAC ID: 6709183569
Enrollment ID: I20181003001371

Medical Identifiers

Medical identifiers for Kevin Coppelson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1225322019	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223S0112X	Dentist - Oral And Maxillofacial Surgery	34607 (Texas)	Secondary
204E00000X	Oral & Maxillofacial Surgery	157675 (California)	Secondary
204E00000X	Oral & Maxillofacial Surgery	34607 (Texas)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
1223S0112X	Dentist - Oral And Maxillofacial Surgery	101077 (California)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kevin Coppelson allows following entities to bill medicare on his behalf.

Entity Name	Tmhpo Oral & Maxillofacial Surgery
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1174544738 PECOS PAC ID: 8123055712 Enrollment ID: O20050726000353

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. Kevin Coppelson 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 Address	Practice Location Address
Kevin Coppelson, DDS, MD 10921 Wilshire Blvd Ste 912, Los Angeles, CA 90024-3906 Ph: (310) 579-9710	Kevin Coppelson, DDS, MD 10921 Wilshire Blvd Ste 912, Los Angeles, CA 90024 Ph: (310) 579-9710

Reviews and Comments

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Kevin Coppelson, DDS, MD - Medicare Dentist in Los Angeles, CA