| Marjory D Koppelman, | |
|
69 Pinney Rd, Moville, IA 51039-7500 | |
| (515) 402-6621 | |
| Not Available |
| Full Name | Marjory D Koppelman |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 69 Pinney Rd, Moville, Iowa |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619690682 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | A171240 (Iowa) | Primary |
| Entity Name | Delaware County Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982667929 PECOS PAC ID: 2062316375 Enrollment ID: O20031119000881 |
| Entity Name | Iowa Emergency Physicians Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386879427 PECOS PAC ID: 5991856064 Enrollment ID: O20090701000057 |
| Entity Name | Woodbury Emergency Group, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447813316 PECOS PAC ID: 2961737317 Enrollment ID: O20190708002736 |
| Entity Name | Sioux City Hospitalist Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427789148 PECOS PAC ID: 3173906088 Enrollment ID: O20220810000609 |
| Entity Name | Waterloo Emergency Physicians, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649013038 PECOS PAC ID: 5092246967 Enrollment ID: O20241002002176 |
| 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 |
Ashley Lynn Pollema, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 631 E Frontage Rd, Moville, IA 51039 Phone: 712-873-5225 |