Mrs Kelly Jo Kopacz, RN is a
Registered Nurse based in Spring Valley, Wisconsin. Mrs Kelly Jo Kopacz is licensed to practice in Wisconsin (license number ) and her current practice location is
N750 Doug Blegen Dr, Spring Valley, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(715) 778-4301.
NPI number for Mrs Kelly Jo Kopacz is 1235265000 and her current mailing address is 665 140th St, Roberts, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1235265000.
Provider's Profile
Full Name | Mrs Kelly Jo Kopacz |
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Gender | Female |
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Speciality | Registered Nurse |
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Location | N750 Doug Blegen Dr, Spring Valley, Wisconsin |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1235265000
- Provider Enumeration Date: 02/26/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mrs Kelly Jo Kopacz such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1235265000 | NPI | - | NPPES |
38326200 | Other | WI | PROVIDER NUMBER |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163W00000X | Registered Nurse | (Wisconsin) | Primary |
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 Kelly Jo Kopacz is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Kelly Jo Kopacz, RN 665 140th St, Roberts, WI 54023 Ph: (715) 749-4492 | Mrs Kelly Jo Kopacz, RN N750 Doug Blegen Dr, Spring Valley, WI 54767-8806 Ph: (715) 778-4301 |
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