Mrs Erin K Kopecky, NURSE PRACTITIONER is a medicare enrolled "Nurse Practitioner" in Warren, Rhode Island. Her current practice location is
66 Long Ln, Warren, Rhode Island. You can reach out to her office (for appointments etc.) via phone at
(401) 787-6586.
Mrs Erin K Kopecky is licensed to practice in Massachusetts (license number RN2289365) 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 1750124640.
Provider's Profile
| Full Name | Mrs Erin K Kopecky |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Location | 66 Long Ln, Warren, Rhode Island |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1750124640
- Provider Enumeration Date: 06/17/2024
- Last Update Date: 06/28/2024
Medicare PECOS Information:
- PECOS PAC ID: 1658806922
- Enrollment ID: I20241122002652
Medical Identifiers
Medical identifiers for Mrs Erin K Kopecky such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1750124640 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363L00000X | Nurse Practitioner | RN2289365 (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. Mrs Erin K Kopecky allows following entities to bill medicare on her behalf.
| Entity Name | Seasons Medical Group Of Massachusetts Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1760738587
PECOS PAC ID: 1052564994
Enrollment ID: O20121231000258 |
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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. Mrs Erin K Kopecky 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 |
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Mrs Erin K Kopecky, NURSE PRACTITIONER
66 Long Ln,
Warren, RI 02885-1134
Ph: (401) 787-6586 | Mrs Erin K Kopecky, NURSE PRACTITIONER
66 Long Ln,
Warren, RI 02885-1134
Ph: (401) 787-6586 |
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