Dr Stuart Randall Copeland, MD | |
971 11th Ave, Longview, WA 98632-2503 | |
(360) 577-1771 | |
(360) 423-1405 |
Full Name | Dr Stuart Randall Copeland |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 971 11th Ave, Longview, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1437197282 | NPI | - | NPPES |
8237745 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | MD00036985 (Washington) | Primary |
Entity Name | Child & Adolescent Clinic Ps |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144275777 PECOS PAC ID: 2365791084 Enrollment ID: O20180814000961 |
Mailing Address | Practice Location Address |
---|---|
Dr Stuart Randall Copeland, MD 971 11th Ave, Longview, WA 98632-2503 Ph: (360) 577-1771 | Dr Stuart Randall Copeland, MD 971 11th Ave, Longview, WA 98632-2503 Ph: (360) 577-1771 |
Daryl William Linnell, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 784 14th Ave, Longview, WA 98632 Phone: 360-425-6111 Fax: 360-636-1297 | |
Pamela M Roberts, ARNP Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 971 11th Ave, Longview, WA 98632 Phone: 360-577-1771 Fax: 360-423-1405 | |
Dr. John Leigh Ey, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 971 11th Ave, Longview, WA 98632 Phone: 360-423-6140 Fax: 360-423-1405 | |
Mary Jane Hall, ARNP Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 971 11th Ave, Longview, WA 98632 Phone: 360-577-1771 Fax: 360-423-1405 | |
Dr. Kenneth R Wu, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 971 11th Ave, Longview, WA 98632 Phone: 360-423-6140 Fax: 360-423-1405 | |
Dr. Jennifer Louise Saxer, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 784 14th Ave, Longview, WA 98632 Phone: 360-425-6111 Fax: 360-636-1297 | |
Michael Lee Kubitz, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 784 14th Ave, Longview, WA 98632 Phone: 360-425-6111 Fax: 360-636-1297 |