Ms Carolyn S Koppenol, MD in Hillman, MI

Ms Carolyn S Koppenol, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Hillman, Michigan. She went to Washington University School Of Medicine and graduated in 1978 and has 46 years of diverse experience with area of expertise as Psychiatry. She is a member of the group practice Pine Rest Christian Mental Health Services and her current practice location is 15774 State Street, Hillman, Michigan. You can reach out to her office (for appointments etc.) via phone at (989) 742-4583.

Ms Carolyn S Koppenol is licensed to practice in Michigan (license number 4301046030) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1003964255.

Contact Information

	Ms Carolyn S Koppenol, MD
	15774 State Street, Hillman, MI 49746-0427
	(989) 742-4583
	(989) 742-2183

Map and Direction

Physician's Profile

Full Name	Ms Carolyn S Koppenol
Gender	Female
Speciality	Psychiatry
Experience	46 Years
Location	15774 State Street, Hillman, Michigan
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Ms Carolyn S Koppenol attended and graduated from Washington University School Of Medicine in 1978

NPI Data:

NPI Number: 1003964255
Provider Enumeration Date: 01/06/2007
Last Update Date: 10/09/2012

Medicare PECOS Information:

PECOS PAC ID: 3779542220
Enrollment ID: I20041008000981

Medical Identifiers

Medical identifiers for Ms Carolyn S Koppenol such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003964255	NPI	-	NPPES
CK046030	Other	MI	STATE LICENSE NUMBER
5104939	Medicaid	MI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084P0800X	Psychiatry & Neurology - Psychiatry	4301046030 (Michigan)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Pine Rest Christian Mental Health Services	4981506508	314

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. Ms Carolyn S Koppenol allows following entities to bill medicare on her behalf.

Entity Name	Pine Rest Christian Mental Health Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1851309884 PECOS PAC ID: 4981506508 Enrollment ID: O20040216000878

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. Ms Carolyn S Koppenol 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
Ms Carolyn S Koppenol, MD Po Box 427, Hillman, MI 49746-0427 Ph: (989) 354-2197	Ms Carolyn S Koppenol, MD 15774 State Street, Hillman, MI 49746-0427 Ph: (989) 742-4583

Ms Carolyn S Koppenol, MD - Medicare Psychiatry in Hillman, MI