Dr Leonard Michael Copertino, MD | |
93 Campus Ave I2 Wing, Lewiston, ME 04240-6030 | |
(207) 777-8650 | |
(207) 777-8641 |
Full Name | Dr Leonard Michael Copertino |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 14 Years |
Location | 93 Campus Ave I2 Wing, Lewiston, Maine |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1356662753 | NPI | - | NPPES |
04547839 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | MD24085 (Maine) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Mary's Regional Medical Center | Lewiston, ME | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
St Marys Regional Medical Center | 0042107120 | 203 |
Entity Name | St Marys Regional Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447226584 PECOS PAC ID: 0042107120 Enrollment ID: O20040303000236 |
Mailing Address | Practice Location Address |
---|---|
Dr Leonard Michael Copertino, MD C/o St Marys Health System - Provider Enrollment, Po Box 7291, Lewiston, ME 04243-7291 Ph: (207) 777-8950 | Dr Leonard Michael Copertino, MD 93 Campus Ave I2 Wing, Lewiston, ME 04240-6030 Ph: (207) 777-8650 |
David S Lewis, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 12 High St Ste 401, Lewiston, ME 04240 Phone: 207-795-5767 Fax: 207-795-2732 | |
David J Burke, MD Surgery Medicare: Medicare Enrolled Practice Location: 12 High St, Ste. 401, Lewiston, ME 04240 Phone: 207-795-5767 | |
Ms. Marsha C O'rourke, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 99 Campus Ave, Suite 303, Lewiston, ME 04240 Phone: 207-782-5424 Fax: 207-782-1136 | |
Allan M Ingraham, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 60 High St, Cmhvi-y1, Lewiston, ME 04240 Phone: 207-795-8260 Fax: 207-795-8281 | |
Dr. Kevin L Price, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 12 High St, Suite 401, Lewiston, ME 04240 Phone: 207-795-5767 Fax: 207-795-2732 | |
Gregory D'augustine, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 10 High St, Suite 202, Lewiston, ME 04240 Phone: 207-784-2903 | |
Dr. Scott Raymond Johnson, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 12 High St Ste 401, Lewiston, ME 04240 Phone: 207-795-5767 Fax: 207-795-2732 |