| Kandee G Coppala, CRNA | |
|
1304 Oak St, Melbourne, FL 32901-3111 | |
| (321) 723-4723 | |
| (321) 727-1448 |
| Full Name | Kandee G Coppala |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 1304 Oak St, Melbourne, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174637383 | NPI | - | NPPES |
| G3632 | Other | FL | BCBSFL |
| P00313142 | Other | FL | RRMCR |
| 306690800 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | ARNP9217913 (Florida) | Primary |
| Entity Name | Ambulatory Surgery Center Support Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902857642 PECOS PAC ID: 2860440013 Enrollment ID: O20050105000212 |
| Entity Name | Amsurg Rockledge FL Anesthesia, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083953772 PECOS PAC ID: 1456597871 Enrollment ID: O20130409000359 |
| Entity Name | Kgc CRNA LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609215730 PECOS PAC ID: 4486887056 Enrollment ID: O20140506000955 |
| Entity Name | Amsurg Melbourne Anesthesia LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477958189 PECOS PAC ID: 3274858618 Enrollment ID: O20150206000921 |
| Mailing Address | Practice Location Address |
|---|---|
| Kandee G Coppala, CRNA 1304 Oak St, Melbourne, FL 32901-3111 Ph: (321) 723-4723 | Kandee G Coppala, CRNA 1304 Oak St, Melbourne, FL 32901-3111 Ph: (321) 723-4723 |
Barry T Roberts, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1304 Oak St, Melbourne, FL 32901 Phone: 321-723-4723 Fax: 321-727-1448 |
Thomas Harold Pierce, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2134 Nebula Way Unit 101, Melbourne, FL 32904 Phone: 256-990-5466 |
Patricia Ann Sullivan-liebig, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 282 Oak Haven Dr, Melbourne, FL 32940 Phone: 321-863-6531 Fax: 321-254-6196 |
Sandra Jean Bess, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 625 Sandpiper Cir, Melbourne, FL 32901 Phone: 321-727-8071 Fax: 321-727-8071 |
Wilfred R Lovelock, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 8040 N Wickham Rd, Melbourne, FL 32940 Phone: 321-757-7272 |
Christine L Croskey, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1340 Medical Park Dr, Ste 101, Melbourne, FL 32901 Phone: 321-729-9493 |
Patricia Navara, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1304 Oak St, Melbourne, FL 32901 Phone: 321-723-4723 Fax: 321-727-1448 |