Dr Andrew Thomas Coppa, is a medicare enrolled "Emergency Medicine" provider in Vineland, New Jersey. His current practice location is
1505 W Sherman Ave, Vineland, New Jersey. You can reach out to his office (for appointments etc.) via phone at
(856) 641-8000.
Dr Andrew Thomas Coppa is licensed to practice in New Jersey (license number 25MB11701400) 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 1457970931.
Healthcare Provider's Profile
| Full Name | Dr Andrew Thomas Coppa |
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| Gender | Male |
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| Speciality | Emergency Medicine |
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| Location | 1505 W Sherman Ave, Vineland, New Jersey |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1457970931
- Provider Enumeration Date: 04/14/2020
- Last Update Date: 10/02/2024
Medicare PECOS Information:
- PECOS PAC ID: 7214309368
- Enrollment ID: I20230217002553
Medical Identifiers
Medical identifiers for Dr Andrew Thomas Coppa such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1457970931 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 1835E0208X | Pharmacist - Emergency Medicine | 2023020244 (Missouri) | Secondary |
| 207P00000X | Emergency Medicine | 2023020244 (Missouri) | Secondary |
| 207P00000X | Emergency Medicine | 25MB11701400 (New Jersey) | 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. Dr Andrew Thomas Coppa allows following entities to bill medicare on his behalf.
| Entity Name | Inspira Health Network Urgent Care Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1255613329
PECOS PAC ID: 2769657659
Enrollment ID: O20111205000169 |
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| Entity Name | Inspira Sj Urgent Care Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1619320991
PECOS PAC ID: 0749566958
Enrollment ID: O20170424000682 |
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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 Andrew Thomas Coppa 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 |
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Dr Andrew Thomas Coppa,
44 W Parsonage Way,
Manalapan, NJ 07726-7903
Ph: () - | Dr Andrew Thomas Coppa,
1505 W Sherman Ave,
Vineland, NJ 08360-7059
Ph: (856) 641-8000 |
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