Dr Abram T Coppage Iv, MD is a medicare enrolled "Pathology - Clinical Pathology/laboratory Medicine" physician in Greenwood, Mississippi. He went to Mercer University School Of Medicine and graduated in 1995 and has 29 years of diverse experience with area of expertise as Pathology. He is a member of the group practice Greenwood Leflore Hospital and his current practice location is
1401 River Rd, Greenwood, Mississippi. You can reach out to his office (for appointments etc.) via phone at
(662) 459-2613.
Dr Abram T Coppage Iv is licensed to practice in Mississippi (license number 18762) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1518007459.
Physician's Profile
Full Name | Dr Abram T Coppage Iv |
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Gender | Male |
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Speciality | Pathology |
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Experience | 29 Years |
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Location | 1401 River Rd, Greenwood, Mississippi |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Dr Abram T Coppage Iv attended and graduated from Mercer University School Of Medicine in 1995
NPI Data:
- NPI Number: 1518007459
- Provider Enumeration Date: 02/08/2007
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 6507803384
- Enrollment ID: I20050413000503
Medical Identifiers
Medical identifiers for Dr Abram T Coppage Iv such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1518007459 | NPI | - | NPPES |
01252723 | Medicaid | MS | |
09015650 | Medicaid | MS | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207ZP0105X | Pathology - Clinical Pathology/laboratory Medicine | 18762 (Mississippi) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Greenwood Leflore Hospital | 1153399472 | 19 |
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 Abram T Coppage Iv allows following entities to bill medicare on his behalf.
Entity Name | Greenwood Leflore Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1699714717 PECOS PAC ID: 1153399472 Enrollment ID: O20040923000500 |
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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 Abram T Coppage Iv 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 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 |
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