Devin Coppola, MD is a
Family Medicine physician based in Jamesville, New York. Devin Coppola is licensed to practice in New York (license number 201412-1) and his current practice location is 4615 North St, Jamesville, New York. He can be reached at his office (for appointments etc.) via phone at
(315) 469-7600.
NPI number for Devin Coppola is 1306885108 and his current mailing address is Po Box 340, New Hartford, New York. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1306885108.
Physician's Profile
| Full Name | Devin Coppola |
|---|
| Gender | Male |
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| Speciality | Family Medicine |
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| Location | 4615 North St, Jamesville, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1306885108
- Provider Enumeration Date: 06/06/2006
- Last Update Date: 03/07/2023
Medical Identifiers
Medical identifiers for Devin Coppola such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1306885108 | NPI | - | NPPES |
| 01964130 | Medicaid | NY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 201412-1 (New York) | Primary |
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. Devin Coppola is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Devin Coppola, MD
Po Box 340,
New Hartford, NY 13413-0340
Ph: (315) 732-9368 | Devin Coppola, MD
4615 North St,
Jamesville, NY 13078-9499
Ph: (315) 469-7600 |
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