| James Lloyd Copeland Jr, MD | |
|
301 Richland West Cir, Waco, TX 76712-7932 | |
| (254) 537-6200 | |
| (254) 754-2666 |
| Full Name | James Lloyd Copeland Jr |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Location | 301 Richland West Cir, Waco, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174597348 | NPI | - | NPPES |
| 00N59X | Other | TX | MEDICARE & BCBS GROUP # |
| 8BM493 | Other | TX | BCBS |
| 084249401 | Other | TX | MEDICAID GROUP # |
| 113992504 | Medicaid | TX | |
| 113992501 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | D9402 (Texas) | Primary |
| Entity Name | Providence Health Alliance |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932210838 PECOS PAC ID: 6305731068 Enrollment ID: O20040220000307 |
| Mailing Address | Practice Location Address |
|---|---|
| James Lloyd Copeland Jr, MD 301 Richland West Cir, Waco, TX 76712-7932 Ph: (254) 537-6200 | James Lloyd Copeland Jr, MD 301 Richland West Cir, Waco, TX 76712-7932 Ph: (254) 537-6200 |
Isaac Lill, Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 100 Hillcrest Medical Blvd, Waco, TX 76712 Phone: 254-202-2000 Fax: 254-202-5651 | |
Dr. Anugu Bhooma Reddy, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 4800 Memorial Dr, Waco, TX 76711 Phone: 254-752-6581 | |
Soni Jose, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6901 Medical Pkwy, Waco, TX 76712 Phone: 914-649-3636 | |
Dr. Sabine Michaela Roman, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 301 Richland West Cir, Waco, TX 76712 Phone: 254-537-6200 | |
Micah S Meyer, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2329 N 39th St, Waco, TX 76708 Phone: 254-752-5503 Fax: 254-752-4844 | |
Hing-sheung Eugene Fung, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 611 W Hwy 6 Ste 101, Waco, TX 76710 Phone: 254-755-4582 Fax: 254-755-4585 | |
Dr. Charles Benjamin Rives, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 364 Richland West Cir Ste A, Waco, TX 76712 Phone: 254-537-0911 Fax: 254-537-0313 |