Terri Kopp, NP is a medicare enrolled "Nurse Practitioner - Family" physician in Loganville, Georgia. Her current practice location is
3535 Highway 81, Loganville, Georgia. You can reach out to her office (for appointments etc.) via phone at
(678) 905-9625.
Terri Kopp is licensed to practice in Georgia (license number RN270748) 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 1164646659.
Physician's Profile
Full Name | Terri Kopp |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 3535 Highway 81, Loganville, Georgia |
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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: 1164646659
- Provider Enumeration Date: 04/13/2007
- Last Update Date: 04/15/2019
Medicare PECOS Information:
- PECOS PAC ID: 0840396248
- Enrollment ID: I20160127001558
Medical Identifiers
Medical identifiers for Terri Kopp such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1164646659 | NPI | - | NPPES |
1164646659 | Other | CA | NPI- |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207K00000X | Allergy & Immunology | ARNP9370385 (Florida) | Secondary |
363LF0000X | Nurse Practitioner - Family | AP30007423 (Washington) | Secondary |
363LF0000X | Nurse Practitioner - Family | 20340 (California) | Secondary |
363LF0000X | Nurse Practitioner - Family | 9370385 (Florida) | Secondary |
363LF0000X | Nurse Practitioner - Family | RN270748 (Georgia) | 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. Terri Kopp allows following entities to bill medicare on her behalf.
Entity Name | Commonwealth Pain Associates Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1306280177 PECOS PAC ID: 0941441919 Enrollment ID: O20130802000577 |
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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. Terri Kopp 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 |
Terri Kopp, NP 3535 Highway 81, Loganville, GA 30052-4336 Ph: (678) 905-9625 | Terri Kopp, NP 3535 Highway 81, Loganville, GA 30052-4336 Ph: (678) 905-9625 |
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