Mrs Jessica Ellen Koppy, LICSW in Seattle, WA - Medicare Social Worker Provider

Mrs Jessica Ellen Koppy, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Seattle, Washington. Her current practice location is 1101 Madison St Ste 500, Seattle, Washington. You can reach out to her office (for appointments etc.) via phone at (206) 320-7288.

Mrs Jessica Ellen Koppy is licensed to practice in Washington (license number LW60613858) 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 1417659301.

Contact Information

	Mrs Jessica Ellen Koppy, LICSW
	1101 Madison St Ste 500, Seattle, WA 98104-3557
	(206) 320-7288
	(206) 215-2139

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Jessica Ellen Koppy
Gender	Female
Speciality	Social Worker - Clinical
Location	1101 Madison St Ste 500, Seattle, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1417659301
Provider Enumeration Date: 03/21/2023
Last Update Date: 05/30/2023

Medicare PECOS Information:

PECOS PAC ID: 2365807617
Enrollment ID: I20230420002291

Medical Identifiers

Medical identifiers for Mrs Jessica Ellen Koppy such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1417659301	NPI	-	NPPES
2244963	Medicaid	WA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	LW60613858 (Washington)	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. Mrs Jessica Ellen Koppy allows following entities to bill medicare on her behalf.

Entity Name	Swedish Health Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1689612954 PECOS PAC ID: 0244138196 Enrollment ID: O20031230000187

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. Mrs Jessica Ellen Koppy 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
Mrs Jessica Ellen Koppy, LICSW Po Box 25608, Salt Lake City, UT 84125-0608 Ph: (206) 320-4476	Mrs Jessica Ellen Koppy, LICSW 1101 Madison St Ste 500, Seattle, WA 98104-3557 Ph: (206) 320-7288

Reviews and Comments

Social Worker in Seattle, WA

Jacqueline M. Kim, LICSW, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 325 9th Ave, Box 359760, Seattle, WA 98104 Phone: 206-744-8511 Fax: 206-744-2032
Mr. Patrick Lefebvre Hains, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 401 Broadway 1st Floor., Seattle, WA 98122 Phone: 206-744-9600 Fax: 206-744-9919
Kathryn Amanda Lidgard, LSWAIC Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2100 24th Ave S Ste 260, Seattle, WA 98144 Phone: 206-715-6051
Ms. Molly Grogan, LSWAIC CDPT MHP Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2600 Sw Holden St, Seattle, WA 98126 Phone: 206-933-7000
Arianna Daniels, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4219 Sw Juneau St, Seattle, WA 98136 Phone: 301-356-1580
Paige Hustead Law, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 9800 4th Ave Ne, Seattle, WA 98115 Phone: 206-302-1200
Tammie Bui, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 800 5th Ave Ste 900, Seattle, WA 98104 Phone: 415-444-6062

Mrs Jessica Ellen Koppy, LICSW - Medicare Clinical Social Worker in Seattle, WA