| Joshu E Coppola, PA | |
|
5100 W Taft Rd, Suite 1p, Liverpool, NY 13088-3807 | |
| (315) 452-2829 | |
| (315) 452-2870 |
| Full Name | Joshu E Coppola |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 20 Years |
| Location | 5100 W Taft Rd, Liverpool, New York |
| 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 |
|---|---|---|---|
| 1942382528 | NPI | - | NPPES |
| 03316910 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 011563 (New York) | Secondary |
| 363AM0700X | Physician Assistant - Medical | 011563 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Adirondack Medical Center - Saranac Lake | Saranac lake, NY | Hospital |
| The University Of Vermont Health Network - Champl | Plattsburgh, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Plattsburgh Medical Care Pllc | 8729088430 | 9 |
| Entity Name | Michael Pm Pond |
|---|---|
| Entity Type | Practitioner - Emergency Medicine |
| Entity Identifiers | NPI Number: 1962472514 PECOS PAC ID: 6709854367 Enrollment ID: I20040921001002 |
| Entity Name | Syracuse Community Health Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497796353 PECOS PAC ID: 0143121327 Enrollment ID: O20040120000443 |
| Entity Name | Plattsburgh Medical Care PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982703070 PECOS PAC ID: 8729088430 Enrollment ID: O20070103000199 |
| Entity Name | Mountain Medical Primary Care PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427100262 PECOS PAC ID: 0244373637 Enrollment ID: O20100208000343 |
| Entity Name | Wellnow Urgent Care, P.C. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669825162 PECOS PAC ID: 8325320864 Enrollment ID: O20170118001953 |
| Mailing Address | Practice Location Address |
|---|---|
| Joshu E Coppola, PA 611 Skyview Ter, Syracuse, NY 13219-2871 Ph: (518) 201-4003 | Joshu E Coppola, PA 5100 W Taft Rd, Suite 1p, Liverpool, NY 13088-3807 Ph: (315) 452-2829 |
Meriem Djouini, PHYSICIAN ASSISTANT Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7335 Morgan Rd, Liverpool, NY 13090 Phone: 315-572-0731 |
Jacob Mir, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7375 Oswego Rd, Liverpool, NY 13090 Phone: 315-291-0064 |
Bethany Sly, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4811 Buckley Rd, Liverpool, NY 13088 Phone: 315-457-9966 Fax: 315-457-9854 |
Matthew Romano, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5112 W Taft Rd, Suite H, Liverpool, NY 13088 Phone: 315-452-3235 Fax: 315-471-0749 |
Debra A Wolf, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4828 W Taft Rd, Suite 215, Liverpool, NY 13088 Phone: 315-413-0004 Fax: 315-413-0828 |
Stephanie Johnson, P.A. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 5046 Betsy Ross Way, Liverpool, NY 13088 Phone: 315-956-0900 |
Judy A Diliberto, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5112 W Taft Rd, Suite H, Liverpool, NY 13088 Phone: 315-452-3235 Fax: 315-452-5726 |