Timara Coppa, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Louisville, Kentucky. Her current practice location is
2500 W Market St, Louisville, Kentucky. You can reach out to her office (for appointments etc.) via phone at
(502) 772-8860.
Timara Coppa is licensed to practice in Kentucky (license number 257134) 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 1972111235.
Healthcare Provider's Profile
| Full Name | Timara Coppa |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 2500 W Market St, Louisville, Kentucky |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1972111235
- Provider Enumeration Date: 07/22/2020
- Last Update Date: 09/05/2024
Medicare PECOS Information:
- PECOS PAC ID: 9739556515
- Enrollment ID: I20221108001367
Medical Identifiers
Medical identifiers for Timara Coppa such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1972111235 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 264017 (Kentucky) | Secondary |
| 1041C0700X | Social Worker - Clinical | 257134 (Kentucky) | 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. Timara Coppa allows following entities to bill medicare on her behalf.
| Entity Name | Family Health Centers, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1649732603
PECOS PAC ID: 6901700053
Enrollment ID: O20031121000045 |
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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. Timara Coppa 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 |
|---|
Timara Coppa, LCSW
Po Box 950244,
Louisville, KY 40295-0244
Ph: (502) 953-4700 | Timara Coppa, LCSW
2500 W Market St,
Louisville, KY 40212-1541
Ph: (502) 772-8860 |
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