Dr Amanda Nicole Coppedge, OD is a medicare enrolled "Optometrist" provider in Lecanto, Florida. She graduated from medical school in 2007 and has 17 years of diverse experience with area of expertise as Optometry. She is a member of the group practice Coppedge Eyecare, Llc and her current practice location is
240 N. Lecanto Hwy., Lecanto, Florida. You can reach out to her office (for appointments etc.) via phone at
(352) 746-2246.
Dr Amanda Nicole Coppedge is licensed to practice in Florida (license number OPC4215) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1356533566.
Healthcare Provider's Profile
| Full Name | Dr Amanda Nicole Coppedge |
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| Gender | Female |
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| Speciality | Optometry |
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| Experience | 17 Years |
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| Location | 240 N. Lecanto Hwy., Lecanto, Florida |
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| Accepts Medicare Assignments | Yes. She 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:
- Dr Amanda Nicole Coppedge graduated from medical school in 2007
NPI Data:
- NPI Number: 1356533566
- Provider Enumeration Date: 08/11/2007
- Last Update Date: 07/20/2011
Medicare PECOS Information:
- PECOS PAC ID: 0446345789
- Enrollment ID: I20071002000718
Medical Identifiers
Medical identifiers for Dr Amanda Nicole Coppedge such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1356533566 | NPI | - | NPPES |
| 001339500 | Medicaid | FL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | OPC4215 (Florida) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Coppedge Eyecare, Llc | 9032251160 | 2 |
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. Dr Amanda Nicole Coppedge allows following entities to bill medicare on her behalf.
| Provider Name | West Coast Eye Institute Pa |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1437269446
PECOS PAC ID: 8123016342
Enrollment ID: O20040505000517 |
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| Provider Name | Coppedge Eyecare, Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1568690238
PECOS PAC ID: 9032251160
Enrollment ID: O20100127000549 |
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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. Dr Amanda Nicole Coppedge 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 |
|---|
Dr Amanda Nicole Coppedge, OD
240 N Lecanto Hwy,
Lecanto, FL 34461-9191
Ph: (352) 746-2246 | Dr Amanda Nicole Coppedge, OD
240 N. Lecanto Hwy.,
Lecanto, FL 34461
Ph: (352) 746-2246 |
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