Mr Jessie Lee Copeland Jr, MD is a medicare enrolled "Internal Medicine - Adolescent Medicine" physician in Celina, Tennessee. He went to University Of Tennessee, Hsc, College Of Medicine and graduated in 1995 and has 29 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Amg-livingston Llc and his current practice location is
110 Doctors Dr, Celina, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(931) 243-3860.
Mr Jessie Lee Copeland Jr is licensed to practice in Tennessee (license number MD30843) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1164412474.
Physician's Profile
| Full Name | Mr Jessie Lee Copeland Jr |
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| Gender | Male |
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| Speciality | Internal Medicine |
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| Experience | 29 Years |
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| Location | 110 Doctors Dr, Celina, Tennessee |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mr Jessie Lee Copeland Jr attended and graduated from University Of Tennessee, Hsc, College Of Medicine in 1995
NPI Data:
- NPI Number: 1164412474
- Provider Enumeration Date: 10/27/2005
- Last Update Date: 09/19/2019
Medicare PECOS Information:
- PECOS PAC ID: 7911995428
- Enrollment ID: I20041005000406
Medical Identifiers
Medical identifiers for Mr Jessie Lee Copeland Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1164412474 | NPI | - | NPPES |
| 3726598 | Medicaid | TN | |
| 1510372 | Medicaid | TN | |
| 3837472 | Medicaid | TN | |
| P00162052 | Other | TN | RAILROAD MEDICARE |
| 141913142 | Other | TN | TAX ID |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207RA0000X | Internal Medicine - Adolescent Medicine | MD30843 (Tennessee) | Primary |
| 207P00000X | Emergency Medicine | 30843 (Tennessee) | Secondary |
| 207R00000X | Internal Medicine | MD30843 (Tennessee) | Secondary |
| 208M00000X | Hospitalist | 30843 (Tennessee) | Secondary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Amg-livingston Llc | 1052225760 | 24 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mr Jessie Lee Copeland Jr allows following entities to bill medicare on his behalf.
| Entity Name | Amg-livingston Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1699869297
PECOS PAC ID: 1052225760
Enrollment ID: O20031120000923 |
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| Entity Name | Copeland Medical Services |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1164412474
PECOS PAC ID: 5799754032
Enrollment ID: O20041001001057 |
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| Entity Name | Hospital Medicine Services Of Tennessee Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1528433802
PECOS PAC ID: 9234432881
Enrollment ID: O20160114002673 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Jessie Lee Copeland Jr is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Jessie Lee Copeland Jr, MD
Po Box 388,
Celina, TN 38551-0388
Ph: (931) 243-3860 | Mr Jessie Lee Copeland Jr, MD
110 Doctors Dr,
Celina, TN 38551
Ph: (931) 243-3860 |
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