Jessica L Koponen, OTR in Wahpeton, ND - Medicare Occupational Therapist Provider

Jessica L Koponen, OTR is a medicare enrolled "Occupational Therapist" provider in Wahpeton, North Dakota. Her current practice location is 275 11th St S, Wahpeton, North Dakota. You can reach out to her office (for appointments etc.) via phone at (701) 642-2000.

Jessica L Koponen is licensed to practice in North Dakota (license number 1801) 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 1942813183.

Contact Information

	Jessica L Koponen, OTR
	275 11th St S, Wahpeton, ND 58075-4655
	(701) 642-2000
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jessica L Koponen
Gender	Female
Speciality	Occupational Therapist
Location	275 11th St S, Wahpeton, North Dakota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1942813183
Provider Enumeration Date: 08/27/2020
Last Update Date: 11/28/2022

Medicare PECOS Information:

PECOS PAC ID: 5698194447
Enrollment ID: I20200929001712

Medical Identifiers

Medical identifiers for Jessica L Koponen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1942813183	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	5788 (Minnesota)	Secondary
225X00000X	Occupational Therapist	(* (Not Available))	Secondary
225X00000X	Occupational Therapist	1801 (North Dakota)	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. Jessica L Koponen allows following entities to bill medicare on her behalf.

Provider Name	Innovis Health Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1215125463 PECOS PAC ID: 9931298155 Enrollment ID: O20071211000158

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. Jessica L Koponen 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
Jessica L Koponen, OTR 1702 University Dr S, Fargo, ND 58103-4940 Ph: () -	Jessica L Koponen, OTR 275 11th St S, Wahpeton, ND 58075-4655 Ph: (701) 642-2000

Reviews and Comments

Occupational Therapist in Wahpeton, ND

Mr. Zachary Bohn, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1307 7th St N, Wahpeton, ND 58075 Phone: 701-642-6667
Melissa Twidwell, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 508 9th St N, Wahpeton, ND 58075 Phone: 701-642-5499
Peggy J Wasemiller, OT Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 275 11th St S, Wahpeton, ND 58075 Phone: 701-642-2000 Fax: 701-671-4153
Mckenzie Paige Johnson, OTA Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 123 2nd St N,, Wahpeton, ND 58075 Phone: 701-642-7047
Brandi Lynn French, MOTRL Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1307 7th St N, Wahpeton, ND 58075 Phone: 701-642-6667 Fax: 701-642-2485
Kelsey Jo Kent, Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 332 2nd Ave N, Wahpeton, ND 58075 Phone: 701-642-7000 Fax: 701-642-7055
Taylor Renee Karger, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 800 6th St N, Wahpeton, ND 58076 Phone: 701-671-2982

Jessica L Koponen, OTR - Medicare Occupational Therapist in Wahpeton, ND