Marjory D Koppelman, is a medicare enrolled "Nurse Practitioner - Family" in Moville, Iowa. Her current practice location is
69 Pinney Rd, Moville, Iowa. You can reach out to her office (for appointments etc.) via phone at
(515) 402-6621.
Marjory D Koppelman is licensed to practice in Iowa (license number A171240) 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 1619690682.
Provider's Profile
Full Name | Marjory D Koppelman |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 69 Pinney Rd, Moville, Iowa |
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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: 1619690682
- Provider Enumeration Date: 09/23/2022
- Last Update Date: 09/23/2022
Medicare PECOS Information:
- PECOS PAC ID: 0143698464
- Enrollment ID: I20221117002023
Medical Identifiers
Medical identifiers for Marjory D Koppelman such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1619690682 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | A171240 (Iowa) | 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. Marjory D Koppelman allows following entities to bill medicare on her behalf.
Entity Name | Iowa Emergency Physicians Llp |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1386879427 PECOS PAC ID: 5991856064 Enrollment ID: O20090701000057 |
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Entity Name | Woodbury Emergency Group, Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1447813316 PECOS PAC ID: 2961737317 Enrollment ID: O20190708002736 |
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Entity Name | Sioux City Hospitalist Group, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1427789148 PECOS PAC ID: 3173906088 Enrollment ID: O20220810000609 |
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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. Marjory D Koppelman 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 |
Marjory D Koppelman, 69 Pinney Rd, Moville, IA 51039-7500 Ph: () - | Marjory D Koppelman, 69 Pinney Rd, Moville, IA 51039-7500 Ph: (515) 402-6621 |
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