Rebecca Ann Kooistra, FNP is a medicare enrolled "Nurse Practitioner - Family" in Moncure, North Carolina. She went to University Of California, San Francisco School Of Medicine and graduated in 2013 and has 11 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Piedmont Health Services, Inc. and her current practice location is
7228 Pittsboro-moncure Rd, Moncure, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(919) 542-4991.
Rebecca Ann Kooistra is licensed to practice in North Carolina (license number 5006440) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1508292178.
Provider's Profile
| Full Name | Rebecca Ann Kooistra |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 11 Years |
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| Location | 7228 Pittsboro-moncure Rd, Moncure, North Carolina |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Rebecca Ann Kooistra attended and graduated from University Of California, San Francisco School Of Medicine in 2013
NPI Data:
- NPI Number: 1508292178
- Provider Enumeration Date: 09/16/2013
- Last Update Date: 01/27/2021
Medicare PECOS Information:
- PECOS PAC ID: 1355571100
- Enrollment ID: I20201205000141
Medical Identifiers
Medical identifiers for Rebecca Ann Kooistra such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1508292178 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 5006440 (North Carolina) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Piedmont Health Services, Inc. | 3476462102 | 35 |
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. Rebecca Ann Kooistra allows following entities to bill medicare on her behalf.
| Entity Name | Piedmont Health Services, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1164526109
PECOS PAC ID: 3476462102
Enrollment ID: O20031114000118 |
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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. Rebecca Ann Kooistra 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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Rebecca Ann Kooistra, FNP
301 Lloyd St,
Carrboro, NC 27510-1823
Ph: (919) 942-8741 | Rebecca Ann Kooistra, FNP
7228 Pittsboro-moncure Rd,
Moncure, NC 27559
Ph: (919) 542-4991 |
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