Susan Podraza Kopunek, CRNP | |
900 S Caton Ave, Ms 235, Baltimore, MD 21229-5201 | |
(667) 234-8777 | |
(667) 234-3517 |
Full Name | Susan Podraza Kopunek |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 18 Years |
Location | 900 S Caton Ave, Baltimore, Maryland |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1952665366 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LA2200X | Nurse Practitioner - Adult Health | R120298 (Maryland) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Saint Agnes Hospital | Baltimore, MD | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
St. Agnes Healthcare, Inc. | 9830092733 | 220 |
Entity Name | St. Agnes Healthcare, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144250176 PECOS PAC ID: 9830092733 Enrollment ID: O20040128001146 |
Mailing Address | Practice Location Address |
---|---|
Susan Podraza Kopunek, CRNP 900 S Caton Ave, Ms 235, Baltimore, MD 21229-5201 Ph: (667) 234-8777 | Susan Podraza Kopunek, CRNP 900 S Caton Ave, Ms 235, Baltimore, MD 21229-5201 Ph: (667) 234-8777 |
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