Susan Diane Koepp, NP is a medicare enrolled "Nurse Practitioner - Family" in Oriental, North Carolina. Her current practice location is
1101 Broad Street Ext, Oriental, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(252) 249-2220.
Susan Diane Koepp is licensed to practice in North Carolina (license number 0200684) 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 1174567556.
Provider's Profile
Full Name | Susan Diane Koepp |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 1101 Broad Street Ext, Oriental, North Carolina |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1174567556
- Provider Enumeration Date: 06/15/2006
- Last Update Date: 09/30/2014
Medicare PECOS Information:
- PECOS PAC ID: 7113019456
- Enrollment ID: I20141209001665
Medical Identifiers
Medical identifiers for Susan Diane Koepp such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1174567556 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | 0200684 (North Carolina) | 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. Susan Diane Koepp 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 |
Susan Diane Koepp, NP Po Box 383, 1101 Broad St Ext, Oriental, NC 28571-9790 Ph: (252) 249-2220 | Susan Diane Koepp, NP 1101 Broad Street Ext, Oriental, NC 28571-9790 Ph: (252) 249-2220 |
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