Chad Michael Copper, MD in Gainesville, GA

Chad Michael Copper, MD is a medicare enrolled "Surgery" physician in Gainesville, Georgia. He went to Indiana University School Of Medicine and graduated in 2000 and has 24 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice The Longstreet Clinic, Pc and his current practice location is 725 Jesse Jewell Pkwy Se, Gainesville, Georgia. You can reach out to his office (for appointments etc.) via phone at (770) 536-2323.

Chad Michael Copper is licensed to practice in Georgia (license number 055818) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1205816212.

Contact Information

	Chad Michael Copper, MD
	725 Jesse Jewell Pkwy Se, Gainesville, GA 30501-3834
	(770) 536-2323
	(770) 536-4947

Map and Direction

Physician's Profile

Full Name	Chad Michael Copper
Gender	Male
Speciality	General Surgery
Experience	24 Years
Location	725 Jesse Jewell Pkwy Se, Gainesville, Georgia
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Chad Michael Copper attended and graduated from Indiana University School Of Medicine in 2000

NPI Data:

NPI Number: 1205816212
Provider Enumeration Date: 01/18/2006
Last Update Date: 05/22/2024

Medicare PECOS Information:

PECOS PAC ID: 0840229860
Enrollment ID: I20050810000714

Medical Identifiers

Medical identifiers for Chad Michael Copper such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1205816212	NPI	-	NPPES
603854369B	Medicaid	GA
52170731	Other	GA	BCBS
603854369A	Medicaid	GA
10045077	Other	GA	AMERIGROUP
7385826	Other	GA	AETNA
P00246474	Other	GA	RR MEDICARE-GRP # CC4177
8411488	Other	GA	CIGNA
2548303	Other	GA	UNITED HEALTHCARE
340827	Other	GA	WELLCARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	055818 (Georgia)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Northeast Georgia Medical Center, Inc	Gainesville, GA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
The Longstreet Clinic, Pc	2668465733	145

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. Chad Michael Copper allows following entities to bill medicare on his behalf.

Entity Name	The Longstreet Clinic, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1326019977 PECOS PAC ID: 2668465733 Enrollment ID: O20040405001521

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. Chad Michael Copper 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
Chad Michael Copper, MD Po Box 658, Gainesville, GA 30503-0658 Ph: (770) 718-1122	Chad Michael Copper, MD 725 Jesse Jewell Pkwy Se, Gainesville, GA 30501-3834 Ph: (770) 536-2323

Reviews and Comments

Surgery Doctors in Gainesville, GA

Dr. Thomas Gregory Delong, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 1387 Springdale Rd, Gainesville, GA 30501 Phone: 770-534-0984
Courtney L Grant, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 725 Jesse Jewell Pkwy Se, Gainesville, GA 30501 Phone: 678-207-4000 Fax: 770-531-2435
Phillip Patrick Rideout, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 200 S Enota Dr Ne Ste 360, Gainesville, GA 30501 Phone: 770-219-4000
Alexis Deana Smith, MD Surgery Medicare: Medicare Enrolled Practice Location: 1439 Jesse Jewell Pkwy Ne Ste 301, Gainesville, GA 30501 Phone: 770-219-9234
Derek Paul Pendarvis, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 725 Jesse Jewell Pkwy Se, Gainesville, GA 30501 Phone: 770-536-2323 Fax: 770-536-4947
Julius Timothy Fulenwider, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1075 Jesse Jewell Pkwy Ne, Ste B, Gainesville, GA 30501 Phone: 770-536-5733 Fax: 770-534-2114
James A. Butts Jr., MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 725 Jesse Jewell Pkwy Se, Gainesville, GA 30501 Phone: 770-536-2323 Fax: 770-536-4947

Chad Michael Copper, MD - Medicare General Surgery in Gainesville, GA