| Steven Floyd Coppock, CRNA | |
|
8852 Lockhart Rd, Denham Springs, LA 70726 | |
| (225) 665-7409 | |
| Not Available |
| Full Name | Steven Floyd Coppock |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 8852 Lockhart Rd, Denham Springs, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013973551 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | AP02513 (Louisiana) | Primary |
| 163W00000X | Registered Nurse | M036963 (Louisiana) | Secondary |
| Entity Name | Youngs Professional Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922178599 PECOS PAC ID: 2163524992 Enrollment ID: O20070226000608 |
| Mailing Address | Practice Location Address |
|---|---|
| Steven Floyd Coppock, CRNA Po Box 1071, Denham Springs, LA 70727 Ph: (225) 665-7409 | Steven Floyd Coppock, CRNA 8852 Lockhart Rd, Denham Springs, LA 70726 Ph: (225) 665-7409 |
Mr. Channin Joseph Baker, RN, BSN, MN, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 21373 Stonebridge Ct, Denham Springs, LA 70726 Phone: 225-243-5168 Fax: 225-243-5168 | |
Jarrod Ratliff, MSNA, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 29170 S Redwood Dr, Denham Springs, LA 70726 Phone: 985-381-9606 |