George E Kopidakis, MD | |
1530 Lee Blvd, Suite 1100, Lehigh Acres, FL 33936-4893 | |
(239) 368-0241 | |
Not Available |
Full Name | George E Kopidakis |
---|---|
Gender | Male |
Speciality | Surgery |
Location | 1530 Lee Blvd, Lehigh Acres, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1679556757 | NPI | - | NPPES |
P951167 | Other | FL | OPTIMUM |
009552700 | Medicaid | FL | |
367678 | Other | FL | AVMED |
P01214443 | Other | FL | RAILROAD MCR |
P1011919 | Other | FL | FREEDOM HEALTH |
802555 | Other | FL | WELLCARE |
0900046 | Other | FL | CIGNA |
14R8X | Other | FL | BCBS OF FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | ME74612 (Florida) | Primary |
208600000X | Surgery | MA05921000 (New Jersey) | Secondary |
Entity Name | Prime Healthcare Services - Leheigh Physician Management Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114385655 PECOS PAC ID: 1355629734 Enrollment ID: O20161107001025 |
Mailing Address | Practice Location Address |
---|---|
George E Kopidakis, MD 1530 Lee Blvd, Suite 1100, Lehigh Acres, FL 33936-4893 Ph: (239) 368-0241 | George E Kopidakis, MD 1530 Lee Blvd, Suite 1100, Lehigh Acres, FL 33936-4893 Ph: (239) 368-0241 |
Dr. Michelle Renee Schenk, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1530 Lee Blvd, Ste 1100, Lehigh Acres, FL 33936 Phone: 239-368-0241 | |
Doron H Finn, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1530 Lee Blvd, Suite 1100, Lehigh Acres, FL 33936 Phone: 239-368-0241 |