Jessica Marie Kopacz, is a medicare enrolled "Nurse Practitioner" physician in Fort Smith, Arkansas. Her current practice location is
7001 Rogers Ave Ste 501, Fort Smith, Arkansas. You can reach out to her office (for appointments etc.) via phone at
(479) 573-3101.
Jessica Marie Kopacz is licensed to practice in Arkansas (license number 221481) 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 1528786316.
Physician's Profile
Full Name | Jessica Marie Kopacz |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Location | 7001 Rogers Ave Ste 501, Fort Smith, Arkansas |
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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: 1528786316
- Provider Enumeration Date: 08/17/2022
- Last Update Date: 02/01/2023
Medicare PECOS Information:
- PECOS PAC ID: 0648655423
- Enrollment ID: I20220914002303
Medical Identifiers
Medical identifiers for Jessica Marie Kopacz such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1528786316 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207T00000X | Neurological Surgery | 221481 (Arkansas) | Secondary |
363L00000X | Nurse Practitioner | 221481 (Arkansas) | 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. Jessica Marie Kopacz allows following entities to bill medicare on her behalf.
Entity Name | Mercy Clinic Fort Smith Communities |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1902073620 PECOS PAC ID: 3870668510 Enrollment ID: O20080814000789 |
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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. Jessica Marie Kopacz 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 |
Jessica Marie Kopacz, 7001 Rogers Ave Ste 501, Fort Smith, AR 72903-4073 Ph: (479) 573-3101 | Jessica Marie Kopacz, 7001 Rogers Ave Ste 501, Fort Smith, AR 72903-4073 Ph: (479) 573-3101 |
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