| Mr Jonathan Robert Kopka, CRNA | |
|
673 Wyoming Ave Apt C, Kingston, PA 18704-3862 | |
| (570) 709-1509 | |
| Not Available |
| Full Name | Mr Jonathan Robert Kopka |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 14 Years |
| Location | 673 Wyoming Ave Apt C, Kingston, Pennsylvania |
| 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 |
|---|---|---|---|
| 1518213586 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | RN549838 (Pennsylvania) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lehigh Anesthesia Associates Pc | 1759276827 | 6 |
| Entity Name | Lehigh Anesthesia Associates Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508842246 PECOS PAC ID: 1759276827 Enrollment ID: O20040218000049 |
| Entity Name | Gulfstream Anesthesia Consultants Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992713242 PECOS PAC ID: 2365418241 Enrollment ID: O20050601000415 |
| Entity Name | Fsljc, Llc. |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1346266087 PECOS PAC ID: 8022021039 Enrollment ID: O20060717000014 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Jonathan Robert Kopka, CRNA 673 Wyoming Ave Apt C, Kingston, PA 18704-3862 Ph: (570) 709-1509 | Mr Jonathan Robert Kopka, CRNA 673 Wyoming Ave Apt C, Kingston, PA 18704-3862 Ph: (570) 709-1509 |
Akeem Jamal Scott, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 78 Poplar St, Apt. 1, Kingston, PA 18704 Phone: 215-416-1624 | |
Michelle Davenport, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 423 3rd Ave, Kingston, PA 18704 Phone: 570-331-0880 Fax: 570-331-0220 | |
Leonard F Romanowski, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 423 3rd Ave, Kingston, PA 18704 Phone: 570-331-0880 Fax: 570-331-0220 | |
Marjorie G Jones, C.R.N.A. Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 601 Wyoming Ave, Kingston, PA 18704 Phone: 570-288-7405 Fax: 570-288-7406 | |
Janet Morgan, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 423 3rd Ave, Kingston, PA 18704 Phone: 570-331-0880 Fax: 570-331-0220 | |
Suzanne Mulvey, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 423 3rd Ave, Kingston, PA 18704 Phone: 570-331-0880 Fax: 570-331-0220 |