| Jason Kopec, | |
|
1320 Waldo Ave, Midland, MI 48642-5898 | |
| (989) 280-8697 | |
| Not Available |
| Full Name | Jason Kopec |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 7 Years |
| Location | 1320 Waldo Ave, Midland, Michigan |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750857850 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 4704310949 (Michigan) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ih Physician Services Pc | 5991165458 | 48 |
| Entity Name | Mid-south Home Care Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477240190 PECOS PAC ID: 4385961093 Enrollment ID: O20231211003143 |
| Entity Name | Ih Physician Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437960101 PECOS PAC ID: 5991165458 Enrollment ID: O20250203000481 |
| Mailing Address | Practice Location Address |
|---|---|
| Jason Kopec, 1320 Waldo Ave, Midland, MI 48642-5898 Ph: (989) 280-8697 | Jason Kopec, 1320 Waldo Ave, Midland, MI 48642-5898 Ph: (989) 280-8697 |
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