Mr Jessie Lee Copeland Jr, MD is a medicare enrolled "Internal Medicine - Adolescent Medicine" physician in Celina, Tennessee. His current practice location is
110 Doctors Dr, Celina, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(931) 243-3860.
Mr Jessie Lee Copeland Jr is licensed to practice in Tennessee (license number MD30843) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1164412474.
Physician's Profile
| Full Name | Mr Jessie Lee Copeland Jr |
|---|
| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 110 Doctors Dr, Celina, Tennessee |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mr Jessie Lee Copeland Jr attended and graduated from in
NPI Data:
- NPI Number: 1164412474
- Provider Enumeration Date: 10/27/2005
- Last Update Date: 09/19/2019
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Mr Jessie Lee Copeland Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1164412474 | NPI | - | NPPES |
| 3726598 | Medicaid | TN | |
| 1510372 | Medicaid | TN | |
| 3837472 | Medicaid | TN | |
| P00162052 | Other | TN | RAILROAD MEDICARE |
| 141913142 | Other | TN | TAX ID |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207RA0000X | Internal Medicine - Adolescent Medicine | MD30843 (Tennessee) | Primary |
| 207P00000X | Emergency Medicine | 30843 (Tennessee) | Secondary |
| 207R00000X | Internal Medicine | MD30843 (Tennessee) | Secondary |
| 208M00000X | Hospitalist | 30843 (Tennessee) | Secondary |
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. Mr Jessie Lee Copeland Jr is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Jessie Lee Copeland Jr, MD
Po Box 388,
Celina, TN 38551-0388
Ph: (931) 243-3860 | Mr Jessie Lee Copeland Jr, MD
110 Doctors Dr,
Celina, TN 38551
Ph: (931) 243-3860 |
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