| George E Kopidakis, MD | |
|
1530 Lee Blvd, Suite 1100, Lehigh Acres, FL 33936-4893 | |
| (239) 368-0241 | |
| Not Available |
| Full Name | George E Kopidakis |
|---|---|
| Gender | Male |
| Speciality | Surgery |
| Location | 1530 Lee Blvd, Lehigh Acres, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679556757 | NPI | - | NPPES |
| P951167 | Other | FL | OPTIMUM |
| 009552700 | Medicaid | FL | |
| 367678 | Other | FL | AVMED |
| P01214443 | Other | FL | RAILROAD MCR |
| P1011919 | Other | FL | FREEDOM HEALTH |
| 802555 | Other | FL | WELLCARE |
| 0900046 | Other | FL | CIGNA |
| 14R8X | Other | FL | BCBS OF FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | ME74612 (Florida) | Primary |
| 208600000X | Surgery | MA05921000 (New Jersey) | Secondary |
| Entity Name | Prime Healthcare Services - Lehigh Physician Management Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114385655 PECOS PAC ID: 1355629734 Enrollment ID: O20161107001025 |
| Mailing Address | Practice Location Address |
|---|---|
| George E Kopidakis, MD 1530 Lee Blvd, Suite 1100, Lehigh Acres, FL 33936-4893 Ph: (239) 368-0241 | George E Kopidakis, MD 1530 Lee Blvd, Suite 1100, Lehigh Acres, FL 33936-4893 Ph: (239) 368-0241 |
Dr. Michelle Renee Schenk, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1530 Lee Blvd, Ste 1100, Lehigh Acres, FL 33936 Phone: 239-368-0241 | |
Doron H Finn, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1530 Lee Blvd, Suite 1100, Lehigh Acres, FL 33936 Phone: 239-368-0241 |