Michael Shawn Coppock, in Oklahoma City, OK - Medicare Nurse Anesthetist, Certified Registered

Michael Shawn Coppock, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Oklahoma City, Oklahoma. His current practice location is 9600 Broadway Ext, Oklahoma City, Oklahoma. You can reach out to his office (for appointments etc.) via phone at (405) 715-3610.

Michael Shawn Coppock is licensed to practice in Oklahoma (license number 212739) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1104516210.

Contact Information

	Michael Shawn Coppock,
	9600 Broadway Ext, Oklahoma City, OK 73114-7408
	(405) 715-3610
	Not Available

Map and Direction

Provider's Profile

Full Name	Michael Shawn Coppock
Gender	Male
Speciality	Nurse Anesthetist, Certified Registered
Location	9600 Broadway Ext, Oklahoma City, Oklahoma
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1104516210
Provider Enumeration Date: 05/11/2023
Last Update Date: 05/11/2023

Medicare PECOS Information:

PECOS PAC ID: 8426415761
Enrollment ID: I20230601001731

Medical Identifiers

Medical identifiers for Michael Shawn Coppock such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104516210	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	212739 (Oklahoma)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Michael Shawn Coppock allows following entities to bill medicare on his behalf.

Entity Name	Central Anesthesia Associates Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1912008780 PECOS PAC ID: 4082632948 Enrollment ID: O20051109000379

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. Michael Shawn Coppock 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
Michael Shawn Coppock, 2212 Red Elm Dr, Edmond, OK 73013-5610 Ph: (405) 850-0850	Michael Shawn Coppock, 9600 Broadway Ext, Oklahoma City, OK 73114-7408 Ph: (405) 715-3610

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Oklahoma City, OK

Traci Renee Wilmarth, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 9713 Lakecrest Dr, Oklahoma City, OK 73159 Phone: 405-213-5351
Paul Jason Bradley, RN Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 920 Stanton L Young Blvd # Wp1140, Oklahoma City, OK 73104 Phone: 405-271-4351 Fax: 405-271-8695
Michael Sean O'dell, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 5501 N Portland Ave, Oklahoma City, OK 73112 Phone: 405-604-6000
Mr. Darryl W. Jones, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1044 Sw 44th St, Oklahoma City, OK 73109 Phone: 405-431-9921
Ivan Kozhulenko, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 920 Stanton L Young Blvd Ste Wp1140, Oklahoma City, OK 73104 Phone: 405-271-4351 Fax: 405-271-8695
Jasilin Hall, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 5501 N Portland Ave, Oklahoma City, OK 73112 Phone: 405-604-6000
Robert Lee Rawls, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 9600 Broadway Ext, Oklahoma City, OK 73114 Phone: 405-715-3610 Fax: 405-715-3612

Michael Shawn Coppock, - Medicare Nurse Anesthetist, Certified Registered in Oklahoma City, OK