Dr James B Kopp, MD | |
221 3rd St W, Bldg 1040, Randolph A F B, TX 78150-4800 | |
(210) 652-3383 | |
Not Available |
Full Name | Dr James B Kopp |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 27 Years |
Location | 221 3rd St W, Randolph A F B, Texas |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1366416372 | NPI | - | NPPES |
171884301 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | L1913 (Texas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Shannon Medical Center | San angelo, TX | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Shannon Clinic | 0840103727 | 411 |
Entity Name | Shannon Clinic |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770587149 PECOS PAC ID: 0840103727 Enrollment ID: O20031222000702 |
Mailing Address | Practice Location Address |
---|---|
Dr James B Kopp, MD 221 3rd St W, Bldg 1040, Randolph A F B, TX 78150-4800 Ph: (210) 652-3383 | Dr James B Kopp, MD 221 3rd St W, Bldg 1040, Randolph A F B, TX 78150-4800 Ph: (210) 652-3383 |
Dr. Leonard E. Trout Iii, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 550 C St W, Hq Afpc/dpamm, Randolph A F B, TX 78150 Phone: 210-565-0668 Fax: 210-565-2354 | |
Dr. Richard Leroy Mooney, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 221 3rd St W, Randolph A F B, TX 78150 Phone: 210-652-8544 Fax: 210-652-9836 | |
Dr. Cesario Ferrer Ferrer Jr., MD, MPH Family Medicine Medicare: Medicare Enrolled Practice Location: 221 3rd St W, Randolph A F B, TX 78150 Phone: 210-652-9204 |