| Mark Isaac Copeland, AA | |
|
460 Lanier Rd, Madison, AL 35758-1866 | |
| (256) 319-9000 | |
| Not Available |
| Full Name | Mark Isaac Copeland |
|---|---|
| Gender | Male |
| Speciality | Anesthesiologist Assistant |
| Location | 460 Lanier Rd, Madison, Alabama |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164487369 | NPI | - | NPPES |
| 51529650 | Other | AL | BCBS AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367H00000X | Anesthesiologist Assistant | AA826 (Alabama) | Primary |
| Entity Name | Comprehensive Anesthesia Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194704742 PECOS PAC ID: 8123081429 Enrollment ID: O20041108000892 |
| Entity Name | Physynergy Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134465560 PECOS PAC ID: 6204081292 Enrollment ID: O20130222000456 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Isaac Copeland, AA 2006 Franklin St Se, Suite 301, Huntsville, AL 35801-4551 Ph: (256) 539-9471 | Mark Isaac Copeland, AA 460 Lanier Rd, Madison, AL 35758-1866 Ph: (256) 319-9000 |
Andrew Charles Crider, A.A. Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 460 Lanier Rd, Madison, AL 35758 Phone: 256-319-9000 | |
Michael Hamilton Fleming, A.A. Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 460 Lanier Rd, Madison, AL 35758 Phone: 256-319-9000 |