| Scott Ellis Kooperman, MD | |
|
9312 Deer Creek Dr, Tampa, FL 33647-2286 | |
| (813) 575-9993 | |
| (813) 575-9993 |
| Full Name | Scott Ellis Kooperman |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Location | 9312 Deer Creek Dr, Tampa, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558366310 | NPI | - | NPPES |
| 64030208 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 110838 (Florida) | Secondary |
| 207L00000X | Anesthesiology | 30200 (Kentucky) | Primary |
| Entity Name | Signify Health LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689158487 PECOS PAC ID: 3274895263 Enrollment ID: O20210209002652 |
| Mailing Address | Practice Location Address |
|---|---|
| Scott Ellis Kooperman, MD 9312 Deer Creek Dr, Tampa, FL 33647-2286 Ph: (813) 575-9993 | Scott Ellis Kooperman, MD 9312 Deer Creek Dr, Tampa, FL 33647-2286 Ph: (813) 575-9993 |
Mr. Marc Vincent Manacci, CRNA Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 12902 Usf Magnolia Dr, Tampa, FL 33612 Phone: 813-745-4673 Fax: 813-449-8618 |
Ashok Narayan Shenoy, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1 Tampa General Cir, Suite A327, Tampa, FL 33606 Phone: 813-844-7677 Fax: 813-844-4972 |
Satish Bollu Reddy, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2727 W Dr Martin Luther King Jr Blvd, Suite 310, Tampa, FL 33607 Phone: 813-350-7244 Fax: 813-350-7246 |
Robert William Koss, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 12902 Usf Magnolia Dr, Tampa, FL 33612 Phone: 813-745-4673 |
Dr. Jeffrey Marc Gilfor, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 11911 N Dale Mabry Hwy, Tampa, FL 33618 Phone: 813-265-5300 |
William Joseph Quartuccio, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 2 Columbia Dr, Suite: A-327, Tampa, FL 33606 Phone: 813-844-4396 Fax: 813-844-4972 |
Carla Elaine Galang, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2 Columbia Dr, Suite A327, Tampa, FL 33606 Phone: 813-844-4396 Fax: 813-844-7942 |