Mary Ann Koprek, in Bristol, CT - Medicare Nurse Practitioner

Mary Ann Koprek, is a medicare enrolled "Nurse Practitioner - Family" in Bristol, Connecticut. Her current practice location is 61 Bradley St, Bristol, Connecticut. You can reach out to her office (for appointments etc.) via phone at (860) 584-8021.

Mary Ann Koprek is licensed to practice in Connecticut (license number 8529) 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 1184266967.

Contact Information

	Mary Ann Koprek,
	61 Bradley St, Bristol, CT 06010-5103
	(860) 584-8021
	Not Available

Map and Direction

Provider's Profile

Full Name	Mary Ann Koprek
Gender	Female
Speciality	Nurse Practitioner - Family
Location	61 Bradley St, Bristol, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1184266967
Provider Enumeration Date: 10/12/2019
Last Update Date: 05/27/2020

Medicare PECOS Information:

PECOS PAC ID: 6406287960
Enrollment ID: I20200518000277

Medical Identifiers

Medical identifiers for Mary Ann Koprek such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1184266967	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	8529 (Connecticut)	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. Mary Ann Koprek allows following entities to bill medicare on her behalf.

Entity Name	Bristol Hospital Multi-specialty Group, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649265679 PECOS PAC ID: 9032014758 Enrollment ID: O20031204000960

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. Mary Ann Koprek 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
Mary Ann Koprek, Po Box 2828, Bristol, CT 06011-2828 Ph: () -	Mary Ann Koprek, 61 Bradley St, Bristol, CT 06010-5103 Ph: (860) 584-8021

Reviews and Comments

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Mary Ann Koprek, - Medicare Nurse Practitioner in Bristol, CT