| Dr Sage Kinney Copeland, MD, FACS | |
|
1218 13th Ave Se, Decatur, AL 35601-4307 | |
| (256) 355-6200 | |
| (256) 355-6241 |
| Full Name | Dr Sage Kinney Copeland |
|---|---|
| Gender | Male |
| Speciality | Otolaryngology |
| Location | 1218 13th Ave Se, Decatur, Alabama |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265413124 | NPI | - | NPPES |
| 000019326 | Medicaid | AL | |
| 040011769 | Other | AL | RAILROAD MEDICARE |
| 510-19326 | Other | AL | BCBS |
| 051019326 | Other | AL | PROVIDER NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Y00000X | Otolaryngology | 00011018 (Alabama) | Primary |
| Entity Name | Decatur Ent Associates Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164487708 PECOS PAC ID: 2163478629 Enrollment ID: O20050328000748 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Sage Kinney Copeland, MD, FACS 1218 13th Ave Se, Decatur, AL 35601-4307 Ph: (256) 355-6200 | Dr Sage Kinney Copeland, MD, FACS 1218 13th Ave Se, Decatur, AL 35601-4307 Ph: (256) 355-6200 |
Dr. George H Godwin Iii, M.D., F.A.C.S. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1218 13th Ave Se, Decatur, AL 35601 Phone: 256-355-6200 Fax: 256-355-6241 | |
Dr. Benjamin W Light, M.D., F.A.C.S. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1218 13th Ave Se, Decatur, AL 35601 Phone: 256-355-6200 Fax: 256-355-6241 |