Raquel Bopp, RD is a medicare enrolled "Dietitian, Registered" provider in Fort Lee, Virginia. Her current practice location is
700 24th St, Fort Lee, Virginia. You can reach out to her office (for appointments etc.) via phone at
(804) 743-9000.
Raquel Bopp is licensed to practice in Virginia (license number 1069821) 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 1306354196.
Healthcare Provider's Profile
| Full Name | Raquel Bopp |
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| Gender | Female |
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| Speciality | Dietitian, Registered |
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| Location | 700 24th St, Fort Lee, Virginia |
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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: 1306354196
- Provider Enumeration Date: 01/16/2018
- Last Update Date: 01/16/2018
Medicare PECOS Information:
- PECOS PAC ID: 2062888217
- Enrollment ID: I20221013001592
Medical Identifiers
Medical identifiers for Raquel Bopp such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1306354196 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 133V00000X | Dietitian, Registered | 1069821 (Virginia) | 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. Raquel Bopp allows following entities to bill medicare on her behalf.
| Provider Name | Gila River Health Care Corporation |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1376538231
PECOS PAC ID: 0648174185
Enrollment ID: O20031125000648 |
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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. Raquel Bopp 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 |
|---|
Raquel Bopp, RD
700 24th St,
Fort Lee, VA 23801-1716
Ph: (804) 743-9000 | Raquel Bopp, RD
700 24th St,
Fort Lee, VA 23801-1716
Ph: (804) 743-9000 |
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