2118 VADALABENE DR
MARYVILLE, IL 62062-5632 US PECOS Enrolled
Tibor Charles Kopjas
Internal Medicine Physician
- MARYVILLE, IL
- Phone: (618)-288-7081
- Last Updated 3/23/2020
Overview
Tibor Charles Kopjas is a Internal Medicine Physician in the MARYVILLE area and has over 41 years of experience. Tibor Charles Kopjas primary office location is at 2118 VADALABENE DR and new patients are welcome to contact this healthcare provider for an appointment. He attended University Of Missouri, Columbia School Of Medicine and graduated 1983
Tibor Charles Kopjas is affiliated with five hospitals in the MARYVILLE area, including . The NPI number is 1952332918 and the information was updated approximately 4 years ago.
Tibor Charles Kopjas is affiliated with one medical group in the MARYVILLE area, ANDERSON MEDICAL GROUP LLC.
We have not detected any Exclusions tied directly to this NPI.
Accepts Medicare Assignment: Unknown
Is sole proprietor: NO
Participates in PECOS: YES (See any PECOS details below)
Contact Information
| License Number | State |
|---|---|
| 036070084 | IL |
| Type/Issuer | Identifier | State |
|---|---|---|
| MEDICAID | 036070084 | IL |
| BLUE CROSS | 06000515 | IL |
| GHP | 166459 | IL |
| HEALTHLINK | 100767 | IL |
| RIALROAD MEDICARE | 110016002 | IL |
| UNITED HEALTH | 0407247 | IL |
| Taxonomy | State | Primary? |
|---|---|---|
| Internal Medicine Physician - Taxonomy Code 207R00000X | IL | Y |
PECOS Details:
| Participates in PECOS: | YES |
| PECOS Individual Enrollment ID: | I20071120000554 |
| PECOS Individual PAC ID: | 5698863975 |
| Eligible to order/refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible to order/refer Durable Medical Equipment (DME) | Yes |
| Eligible to order/refer Home Health Agency (HHA) | Yes |
| Eligible to order/refer Power Mobility Devices (PMD) | Yes |
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