Hana D Koppel, PA-C is a medicare enrolled "Physician Assistant - Surgical" physician in Evanston, Illinois. Her current practice location is
2650 Ridge Ave, Evanston, Illinois. You can reach out to her office (for appointments etc.) via phone at
(847) 570-2868.
Hana D Koppel is licensed to practice in Illinois (license number 085010427) 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 1912759275.
Physician's Profile
Full Name | Hana D Koppel |
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Gender | Female |
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Speciality | Physician Assistant - Surgical |
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Location | 2650 Ridge Ave, Evanston, Illinois |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1912759275
- Provider Enumeration Date: 04/02/2024
- Last Update Date: 07/09/2024
Medicare PECOS Information:
- PECOS PAC ID: 6103362579
- Enrollment ID: I20240722001946
Medical Identifiers
Medical identifiers for Hana D Koppel such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1912759275 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208600000X | Surgery | 085.010427 (Illinois) | Secondary |
207R00000X | Internal Medicine | 085.010427 (Illinois) | Secondary |
363AS0400X | Physician Assistant - Surgical | 085010427 (Illinois) | Primary |
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. Hana D Koppel 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 |
Hana D Koppel, PA-C 2650 Ridge Ave, Evanston, IL 60201-1700 Ph: (847) 570-2868 | Hana D Koppel, PA-C 2650 Ridge Ave, Evanston, IL 60201-1700 Ph: (847) 570-2868 |
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