Tammy M Copeland, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Jacksonville, Arkansas. Her current practice location is
1400 Braden St, Jacksonville, Arkansas. You can reach out to her office (for appointments etc.) via phone at
(501) 985-7000.
Tammy M Copeland is licensed to practice in Arkansas (license number C00862) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1487870283.
Provider's Profile
| Full Name | Tammy M Copeland |
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| Gender | Female |
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| Speciality | Nurse Anesthetist, Certified Registered |
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| Location | 1400 Braden St, Jacksonville, Arkansas |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1487870283
- Provider Enumeration Date: 04/18/2007
- Last Update Date: 10/18/2007
Medicare PECOS Information:
- PECOS PAC ID: 4284766536
- Enrollment ID: I20100721000950
Medical Identifiers
Medical identifiers for Tammy M Copeland such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1487870283 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 163W00000X | Registered Nurse | R27750 (Arkansas) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | C00862 (Arkansas) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Tammy M Copeland allows following entities to bill medicare on her behalf.
| Entity Name | Arkansas Anesthesia Associates PLLC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1497023360 PECOS PAC ID: 6406023142 Enrollment ID: O20120119000835 |
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| Entity Name | Southern Regional Anesthesiology Consultants PLLC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1902231673 PECOS PAC ID: 2961633870 Enrollment ID: O20140318000757 |
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| Entity Name | Integrated Anesthesia Services, PLC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1194736108 PECOS PAC ID: 0244335255 Enrollment ID: O20171025000334 |
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| Entity Name | Nlr Gi Anesthesia, LLC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1518536234 PECOS PAC ID: 6002210846 Enrollment ID: O20210802001671 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Tammy M Copeland is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Tammy M Copeland, CRNA 925 Sherwood Dr, Lake Bluff, IL 60044-2203 Ph: Not Available | Tammy M Copeland, CRNA 1400 Braden St, Jacksonville, AR 72076-3721 Ph: (501) 985-7000 |
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