Jack Andrew Copeland, MD is a
Radiology - Diagnostic Radiology physician based in Espanola, New Mexico. Jack Andrew Copeland is licensed to practice in New Mexico (license number 97-213) and his current practice location is 1010 Spruce St, Espanola, New Mexico. He can be reached at his office (for appointments etc.) via phone at
(505) 986-8468.
NPI number for Jack Andrew Copeland is 1780657841 and his current mailing address is Po Box 387, Marfa, Texas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1780657841.
Physician's Profile
Full Name | Jack Andrew Copeland |
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Gender | Male |
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Speciality | Radiology - Diagnostic Radiology |
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Location | 1010 Spruce St, Espanola, New Mexico |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1780657841
- Provider Enumeration Date: 02/09/2006
- Last Update Date: 01/25/2010
Medical Identifiers
Medical identifiers for Jack Andrew Copeland such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1780657841 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2085R0202X | Radiology - Diagnostic Radiology | 97-213 (New Mexico) | 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. Jack Andrew Copeland 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 |
Jack Andrew Copeland, MD Po Box 387, Marfa, TX 79843-0387 Ph: (432) 729-4608 | Jack Andrew Copeland, MD 1010 Spruce St, Espanola, NM 87532-3456 Ph: (505) 986-8468 |
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