| Dr Abram T Coppage Iv, MD | |
|
1401 River Rd, Greenwood, MS 38930-4030 | |
| (662) 459-2613 | |
| (662) 459-1159 |
| Full Name | Dr Abram T Coppage Iv |
|---|---|
| Gender | Male |
| Speciality | Pathology |
| Experience | 30 Years |
| Location | 1401 River Rd, Greenwood, Mississippi |
| 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 |
|---|---|---|---|
| 1518007459 | NPI | - | NPPES |
| 01252723 | Medicaid | MS | |
| 09015650 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZP0105X | Pathology - Clinical Pathology/laboratory Medicine | 18762 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Merit Health River Oaks | Flowood, MS | Hospital |
| Merit Health River Region | Vicksburg, MS | Hospital |
| Merit Health Natchez | Natchez, MS | Hospital |
| Merit Health Madison | Canton, MS | Hospital |
| Merit Health Wesley | Hattiesburg, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Hub Care Pathology, P.a. | 3173616240 | 9 |
| Entity Name | Greenwood Leflore Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699714717 PECOS PAC ID: 1153399472 Enrollment ID: O20040923000500 |
| Entity Name | Hub Care Pathology, P.a. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043324767 PECOS PAC ID: 3173616240 Enrollment ID: O20070905000545 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Abram T Coppage Iv, MD Po Box 1410, Greenwood, MS 38935-1410 Ph: (662) 459-2613 | Dr Abram T Coppage Iv, MD 1401 River Rd, Greenwood, MS 38930-4030 Ph: (662) 459-2613 |
Joyce Bradshaw, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 1401 River Rd, Greenwood, MS 38930 Phone: 601-636-0097 Fax: 601-629-9969 | |
Marsha G Lucas, M.D. Pathology Medicare: May Accept Medicare Assignments Practice Location: 1401 River Road, Greenwood, MS 38930 Phone: 662-459-7000 Fax: 662-455-4731 |