| Dr Leonard Michael Copertino, MD | |
|
1855 Tanner Way Ste 220, Harriman, TN 37748-8332 | |
| (865) 882-2442 | |
| (865) 374-2123 |
| Full Name | Dr Leonard Michael Copertino |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 15 Years |
| Location | 1855 Tanner Way Ste 220, Harriman, Tennessee |
| 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 |
| Q096515 | Medicaid | TN | |
| 04547839 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | MD24085 (Maine) | Secondary |
| 208600000X | Surgery | 72147 (Tennessee) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Roane Medical Center | Harriman, TN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Covenant Medical Group Inc | 2860305463 | 301 |
| Entity Name | Covenant Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457302010 PECOS PAC ID: 2860305463 Enrollment ID: O20060719000030 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Leonard Michael Copertino, MD 1855 Tanner Way Ste 220, Harriman, TN 37748-8332 Ph: (865) 882-2442 | Dr Leonard Michael Copertino, MD 1855 Tanner Way Ste 220, Harriman, TN 37748-8332 Ph: (865) 882-2442 |
Terry Marshall Bingham, MD Surgery Medicare: Medicare Enrolled Practice Location: 1855 Tanner Way, Suite 220, Harriman, TN 37748 Phone: 865-882-2442 Fax: 865-882-0251 | |
Matthew Cziep, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1855 Tanner Way Ste 220, Harriman, TN 37748 Phone: 865-882-2442 | |
Harry G. Boye, Jr., M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 415 Devonia Street, Suite 302, Harriman, TN 37748 Phone: 865-882-8372 Fax: 865-882-8372 |