Mia Jasmine Copeland-brock, APRN in Holyoke, MA

Mia Jasmine Copeland-brock, APRN is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Holyoke, Massachusetts. Her current practice location is 40 Bobala Rd, Holyoke, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (413) 536-5473.

Mia Jasmine Copeland-brock is licensed to practice in Massachusetts (license number RN2313693) 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 1174246128.

Contact Information

	Mia Jasmine Copeland-brock, APRN
	40 Bobala Rd, Holyoke, MA 01040-9632
	(413) 536-5473
	Not Available

Map and Direction

Provider's Profile

Full Name	Mia Jasmine Copeland-brock
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	40 Bobala Rd, Holyoke, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1174246128
Provider Enumeration Date: 09/23/2022
Last Update Date: 12/13/2022

Medicare PECOS Information:

PECOS PAC ID: 8527433853
Enrollment ID: I20230418002472

Medical Identifiers

Medical identifiers for Mia Jasmine Copeland-brock such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174246128	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	RN2313693 (Massachusetts)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	RN2313693 (Massachusetts)	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. Mia Jasmine Copeland-brock allows following entities to bill medicare on her behalf.

Entity Name	Behavioral Health Network Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477582609 PECOS PAC ID: 3072596360 Enrollment ID: O20040608001373

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. Mia Jasmine Copeland-brock 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
Mia Jasmine Copeland-brock, APRN 417 Liberty St, Springfield, MA 01104-3736 Ph: (413) 246-9675	Mia Jasmine Copeland-brock, APRN 40 Bobala Rd, Holyoke, MA 01040-9632 Ph: (413) 536-5473

Reviews and Comments

Nurse Practitioner Nurses in Holyoke, MA

Marie C Victor, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2 Hospital Dr Ste 101, Holyoke, MA 01040 Phone: 413-536-8924
Janet Njeri, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1233 Main St, Holyoke, MA 01040 Phone: 413-701-2600
Ms. Katherine Elizabeth Oberwager, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 150 Lower Westfield Road, Holyoke, MA 01040 Phone: 413-794-1038 Fax: 413-322-4992
Jodi Ripka, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 150 Lower Westfield Rd Ste 1, Holyoke, MA 01040 Phone: 413-536-2393 Fax: 413-536-1087
Katherine A Darling, DNP, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 45 Lower Westfield Rd, Holyoke, MA 01040 Phone: 413-315-4100
Robbie S Lauter, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 230 Maple St, Holyoke, MA 01040 Phone: 413-420-2200 Fax: 413-420-2260
Charmie Faith Alagos Frykman, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1233 Main St, Holyoke, MA 01040 Phone: 413-701-2600

Mia Jasmine Copeland-brock, APRN - Medicare Nurse Practitioner in Holyoke, MA