| Dr Kevin Anthony Kopko, MD | |
|
4100 Medical Center Drive, Suite 115, Fayetteville, NY 13066 | |
| (315) 329-2555 | |
| Not Available |
| Full Name | Dr Kevin Anthony Kopko |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 16 Years |
| Location | 4100 Medical Center Drive, Fayetteville, New York |
| 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 |
|---|---|---|---|
| 1700102928 | NPI | - | NPPES |
| 04704138 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 272408 (New York) | Secondary |
| 207XS0114X | Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery | 272408 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Kindred At Home (liverpool) | Liverpool, NY | Home health agency |
| St Joseph's Hospital Health Center | Syracuse, NY | Hospital |
| Crouse Hospital | Syracuse, NY | Hospital |
| Cayuga Medical Center At Ithaca | Ithaca, NY | Hospital |
| River Hospital Clinics | Alexandria bay, NY | Hospital |
| Oswego Hospital | Oswego, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Syracuse Orthopedic Specialists Pc | 6406760073 | 109 |
| Entity Name | Syracuse Orthopedic Specialists Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669410379 PECOS PAC ID: 6406760073 Enrollment ID: O20031118000264 |
| Entity Name | Rome Memorial Hospital, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376546440 PECOS PAC ID: 9638087273 Enrollment ID: O20040719001470 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kevin Anthony Kopko, MD 4100 Medical Center Drive, Suite 115, Fayetteville, NY 13066 Ph: (315) 329-2555 | Dr Kevin Anthony Kopko, MD 4100 Medical Center Drive, Suite 115, Fayetteville, NY 13066 Ph: (315) 329-2555 |
Dr. Irving Sterman, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 6800 E Genesee St, Fayetteville, NY 13066 Phone: 315-474-8595 | |
Dr. Brett B Greenky, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 4115 Medical Center Dr, Fayetteville, NY 13066 Phone: 315-329-7600 Fax: 315-329-7608 | |
Robert Cady, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 6800 E Genesee St, Suite 1501, Fayetteville, NY 13066 Phone: 315-671-0317 Fax: 315-671-0320 | |
Dr. Prashant Prakash Deshmane, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 4000 Medical Center Dr, Ste 115, Fayetteville, NY 13066 Phone: 315-329-2555 |