Dr Stephen Alexander Koplin, MD - Medicare Internal Medicine in Portsmouth, VA

Dr Stephen Alexander Koplin, MD is a medicare enrolled "Internal Medicine" physician in Portsmouth, Virginia. His current practice location is 620 John Paul Jones Cir, Portsmouth, Virginia. You can reach out to his office (for appointments etc.) via phone at (757) 953-5000.

Dr Stephen Alexander Koplin is licensed to practice in Virginia (license number 0101255176) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1013201250.

Contact Information

Dr Stephen Alexander Koplin, MD
620 John Paul Jones Cir,
Portsmouth, VA 23708-2197
(757) 953-5000
Not Available

Map and Direction




Physician's Profile

Full NameDr Stephen Alexander Koplin
GenderMale
SpecialityInternal Medicine
Location620 John Paul Jones Cir, Portsmouth, Virginia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1013201250
  • Provider Enumeration Date: 06/06/2011
  • Last Update Date: 07/21/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 5496986416
  • Enrollment ID: I20240423002173

Medical Identifiers

Medical identifiers for Dr Stephen Alexander Koplin such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013201250NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 0101255176 (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. Dr Stephen Alexander Koplin allows following entities to bill medicare on his behalf.
Entity NamePrivia Medical Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013042480
PECOS PAC ID: 4385682061
Enrollment ID: O20140603000011

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. Dr Stephen Alexander Koplin 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 AddressPractice Location Address
Dr Stephen Alexander Koplin, MD
620 John Paul Jones Cir,
Portsmouth, VA 23708-2197

Ph: () -
Dr Stephen Alexander Koplin, MD
620 John Paul Jones Cir,
Portsmouth, VA 23708-2197

Ph: (757) 953-5000

Reviews and Comments


Internal Medicine Doctors in Portsmouth, VA

Dr. Imtiaz Zaman, MD
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 805 Rodman Ave, Portsmouth, VA 23707
Phone: 757-399-1970    Fax: 757-436-3460
Dr. Sally G Tamayo, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 620 John Paul Jones Cir, Portsmouth, VA 23708
Phone: 757-953-9804    Fax: 757-953-0811
Tyler Church, D.O.
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: Nmrtc, Portsmouth, 620 John Paul Jones Circle, Portsmouth, VA 23708
Phone: 757-953-2266    
Dr. Robert J. Accettola, M.D.
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 3737 High St, Portsmouth, VA 23707
Phone: 757-686-9400    Fax: 757-686-9449
Dr. Varea Costello, DO, MPH
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 620 John Paul Jones Cir, Portsmouth, VA 23708
Phone: 757-953-3647    
Guenola Hunt, MD
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 620 John Paul Jones Cir, Portsmouth, VA 23708
Phone: 757-953-1051    Fax: 757-953-1036

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.