Isabella Marie Koutsopanagos, is a
Student In An Organized Health Care Education/training Program based in Dubuque, Iowa. Isabella Marie Koutsopanagos is licensed to practice in * (Not Available) (license number ) and her current practice location is
2000 University Ave, Dubuque, Iowa. She can be reached at her office (for appointments etc.) via phone at
(563) 589-3662.
NPI number for Isabella Marie Koutsopanagos is 1891514030 and her current mailing address is 2000 University Ave, Dubuque, Iowa. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1891514030.
Provider's Profile
| Full Name | Isabella Marie Koutsopanagos |
|---|
| Gender | Female |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 2000 University Ave, Dubuque, Iowa |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1891514030
- Provider Enumeration Date: 10/04/2024
- Last Update Date: 10/04/2024
Medical Identifiers
Medical identifiers for Isabella Marie Koutsopanagos such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1891514030 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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. Isabella Marie Koutsopanagos is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Isabella Marie Koutsopanagos,
2000 University Ave,
Dubuque, IA 52001-5099
Ph: (563) 589-3662 | Isabella Marie Koutsopanagos,
2000 University Ave,
Dubuque, IA 52001-5099
Ph: (563) 589-3662 |
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