Katie E Copeland, MD | |
3277 E Louise Dr, Suite 200, Meridian, ID 83642-9351 | |
(208) 468-5930 | |
(208) 463-3044 |
Full Name | Katie E Copeland |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 3277 E Louise Dr, Meridian, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447240437 | NPI | - | NPPES |
806551600 | Medicaid | ID | |
370022701 | Other | ID | RR MEDICARE |
53199 | Other | ID | BLUE CROSS |
000010142776 | Other | ID | BLUE SHIELD |
806567400 | Other | ID | HEALTHY CONNECTIONS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | M8753 (Idaho) | Primary |
Entity Name | Multicare Health System |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497766638 PECOS PAC ID: 7719899897 Enrollment ID: O20031105000760 |
Mailing Address | Practice Location Address |
---|---|
Katie E Copeland, MD 190 E Bannock St, Boise, ID 83712-6241 Ph: (208) 381-2222 | Katie E Copeland, MD 3277 E Louise Dr, Suite 200, Meridian, ID 83642-9351 Ph: (208) 468-5930 |
Kristina Miles, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 2275 S Eagle Rd Ste 120, Meridian, ID 83642 Phone: 208-514-2520 Fax: 208-375-2217 | |
Mrs. Anne E. Riffle, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3653 N. Locust Grove Road, Meridian, ID 83646 Phone: 208-338-5437 Fax: 208-939-9811 | |
Robert F Adams, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 520 S Eagle Rd, Meridian, ID 83642 Phone: 208-336-9188 | |
Joshua Edwin Albright, Pediatrics Medicare: Medicare Enrolled Practice Location: 1620 S Celebration Ave, Meridian, ID 83642 Phone: 208-884-1030 | |
Lisa M. Barker, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1620 S Celebration Ave, Meridian, ID 83642 Phone: 208-884-1030 | |
Dr. Brian C Birch, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2921 S Meridian Rd, Meridian, ID 83642 Phone: 208-297-7847 Fax: 208-203-0097 | |
Susan C Kim, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3280 E Lanark Dr, Meridian, ID 83642 Phone: 208-377-4400 Fax: 208-377-4416 |