Jade Victoria Coppola, PA-C is a medicare enrolled "Physician Assistant - Medical" in Hartwell, Georgia. She graduated from nursing school in 2018 and has 7 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Taral Sharma Md Pc and her current practice location is
605 E Franklin St, Hartwell, Georgia. You can reach out to her office (for appointments etc.) via phone at
(706) 376-6200.
Jade Victoria Coppola is licensed to practice in Georgia (license number 9274) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1750859104.
Provider's Profile
| Full Name | Jade Victoria Coppola |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 7 Years |
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| Location | 605 E Franklin St, Hartwell, Georgia |
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| Accepts Medicare Assignments | Yes. She 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:
- Jade Victoria Coppola graduated from nursing school in 2018
NPI Data:
- NPI Number: 1750859104
- Provider Enumeration Date: 11/04/2018
- Last Update Date: 07/05/2019
Medicare PECOS Information:
- PECOS PAC ID: 0547599615
- Enrollment ID: I20230523002167
Medical Identifiers
Medical identifiers for Jade Victoria Coppola such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1750859104 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363AM0700X | Physician Assistant - Medical | 9274 (Georgia) | Primary |
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Taral Sharma Md Pc | 0244568152 | 17 |
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. Jade Victoria Coppola 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 |
|---|
Jade Victoria Coppola, PA-C
17 Carter Run Ct,
Simpsonville, SC 29681-6573
Ph: (203) 214-0453 | Jade Victoria Coppola, PA-C
605 E Franklin St,
Hartwell, GA 30643-7301
Ph: (706) 376-6200 |
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