| Cary Lewis Copeland, DPM | |
|
4260 Glendale Milford Rd, Suite 103, Blue Ash, OH 45242-3704 | |
| (513) 769-4408 | |
| (513) 769-4578 |
| Full Name | Cary Lewis Copeland |
|---|---|
| Gender | Male |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 4260 Glendale Milford Rd, Blue Ash, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679558258 | NPI | - | NPPES |
| 000000250229 | Other | OH | ANTHEM |
| 0908058 | Medicaid | OH | |
| 480034608 | Other | OH | RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 36-002638 (Ohio) | Primary |
| Provider Name | Cary Copeland Dpm Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1760564181 PECOS PAC ID: 6103898473 Enrollment ID: O20040807000146 |
| Mailing Address | Practice Location Address |
|---|---|
| Cary Lewis Copeland, DPM Po Box 322, Batavia, OH 45103-0322 Ph: (513) 474-1906 | Cary Lewis Copeland, DPM 4260 Glendale Milford Rd, Suite 103, Blue Ash, OH 45242-3704 Ph: (513) 769-4408 |
Dominic A Rizzo Dpm Cleri Podiatrist Medicare: Medicare Enrolled Practice Location: 4260 Glendale Milford Rd, Suite 103a, Blue Ash, OH 45242 Phone: 513-769-4408 Fax: 513-474-1906 | |
Dr. Dominic Angelo Rizzo, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 4260 Glendale Milford Rd Ste 103, Blue Ash, OH 45242 Phone: 513-769-4408 Fax: 513-769-4578 | |
Elizabeth Ann Brown, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 4260 Glendale Milford Rd, Blue Ash, OH 45242 Phone: 513-769-4408 Fax: 513-769-4578 | |
Dr. Renee L Ash, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 4260 Glendale Milford Rd, Blue Ash, OH 45242 Phone: 513-769-4408 Fax: 513-769-4578 | |
Mr. Todd C. Loftus, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 4260 Glendale Milford Rd, Suite 103, Blue Ash, OH 45242 Phone: 513-769-4408 Fax: 513-769-4578 | |
Mark Petre, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 4260 Glendale Milford Rd, Suite 103, Blue Ash, OH 45242 Phone: 513-769-4408 Fax: 513-769-4578 |