Mark Isaac Copeland, AA | |
460 Lanier Rd, Madison, AL 35758-1866 | |
(256) 319-9000 | |
Not Available |
Full Name | Mark Isaac Copeland |
---|---|
Gender | Male |
Speciality | Anesthesiologist Assistant |
Location | 460 Lanier Rd, Madison, Alabama |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164487369 | NPI | - | NPPES |
51529650 | Other | AL | BCBS AL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367H00000X | Anesthesiologist Assistant | AA826 (Alabama) | Primary |
Entity Name | Comprehensive Anesthesia Services Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194704742 PECOS PAC ID: 8123081429 Enrollment ID: O20041108000892 |
Entity Name | Physynergy Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134465560 PECOS PAC ID: 6204081292 Enrollment ID: O20130222000456 |
Mailing Address | Practice Location Address |
---|---|
Mark Isaac Copeland, AA 2006 Franklin St Se, Suite 301, Huntsville, AL 35801-4551 Ph: (256) 539-9471 | Mark Isaac Copeland, AA 460 Lanier Rd, Madison, AL 35758-1866 Ph: (256) 319-9000 |
Andrew Charles Crider, A.A. Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 460 Lanier Rd, Madison, AL 35758 Phone: 256-319-9000 | |
Michael Hamilton Fleming, A.A. Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 460 Lanier Rd, Madison, AL 35758 Phone: 256-319-9000 |