Teresa Rae Koppang, MS CCCSLP is a
Speech-language Pathologist based in Battle Lake, Minnesota. Teresa Rae Koppang is licensed to practice in Washington (license number LL60762859) and her current practice location is
38100 Antler Ln, Battle Lake, Minnesota. She can be reached at her office (for appointments etc.) via phone at
(952) 240-0551.
NPI number for Teresa Rae Koppang is 1881865426 and her current mailing address is Po Box 1044, Long Beach, Washington. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1881865426.
Healthcare Provider's Profile
Full Name | Teresa Rae Koppang |
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Gender | Female |
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Speciality | Speech-language Pathologist |
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Location | 38100 Antler Ln, Battle Lake, Minnesota |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1881865426
- Provider Enumeration Date: 03/21/2008
- Last Update Date: 03/30/2023
Medical Identifiers
Medical identifiers for Teresa Rae Koppang such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1881865426 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
235Z00000X | Speech-language Pathologist | 8187 (Minnesota) | Secondary |
235Z00000X | Speech-language Pathologist | LL60762859 (Washington) | 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. Teresa Rae Koppang 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 |
Teresa Rae Koppang, MS CCCSLP Po Box 1044, Long Beach, WA 98631-1044 Ph: (952) 240-0551 | Teresa Rae Koppang, MS CCCSLP 38100 Antler Ln, Battle Lake, MN 56515-9270 Ph: (952) 240-0551 |
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