| Shelby Leigh Coplen, PA-C | |
|
7530 N Oracle Rd Ste 102, Tucson, AZ 85704-4451 | |
| (520) 612-7722 | |
| (520) 612-7797 |
| Full Name | Shelby Leigh Coplen |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 9 Years |
| Location | 7530 N Oracle Rd Ste 102, Tucson, Arizona |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780108100 | NPI | - | NPPES |
| 14110244 | Other | CAQH | |
| 322251 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 6768 (Arizona) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Arizona Mohs Surgery Pllc | 3173944634 | 4 |
| Entity Name | Dyson Dermatology, PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215291414 PECOS PAC ID: 0941450407 Enrollment ID: O20121019000071 |
| Entity Name | Arizona Mohs Surgery PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588297402 PECOS PAC ID: 3173944634 Enrollment ID: O20200609001690 |
| Mailing Address | Practice Location Address |
|---|---|
| Shelby Leigh Coplen, PA-C 35 Kelly Brook Ln, East Hampstead, NH 03826-2444 Ph: (317) 488-7990 | Shelby Leigh Coplen, PA-C 7530 N Oracle Rd Ste 102, Tucson, AZ 85704-4451 Ph: (520) 612-7722 |
Miss Ashlee Elizabeth Krongaard, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4280 N Oracle Rd Ste 100, Tucson, AZ 85705 Phone: 188-838-1485 |
Ms. Barbara Magno Vucasovich, SA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1621 N Via Encanto, Tucson, AZ 85715 Phone: 214-227-2457 Fax: 214-764-0880 |
Alexandria Taysom, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1625 N Campbell Ave, Tucson, AZ 85719 Phone: 520-694-0111 |
Olivia Katherine Sobojinski, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6130 N La Cholla Blvd Ste 135a, Tucson, AZ 85741 Phone: 520-881-1394 Fax: 520-882-7467 |
Ms. Anne M Elliott, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 7566 N La Cholla Blvd, Suite A, Tucson, AZ 85741 Phone: 520-742-4139 Fax: 520-742-3010 |
Raven Janin Marshall-santillan, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3601 S 6th Ave, Tucson, AZ 85723 Phone: 520-792-1450 |
Andrea N Steele, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1735 E Skyline Dr, Tucson, AZ 85718 Phone: 520-618-1630 Fax: 520-618-1636 |