Holly Raeann Koopman, OD - Medicare Optometrist in Louisville, KY

Holly Raeann Koopman, OD is a medicare enrolled "Optometrist" provider in Louisville, Kentucky. She graduated from medical school in 2015 and has 9 years of diverse experience with area of expertise as Optometry. She is a member of the group practice Louisville Optometric Centers Iii, Psc, Louisville Optometric Centers Iii, Psc and her current practice location is 6812 Dixie Hwy, Louisville, Kentucky. You can reach out to her office (for appointments etc.) via phone at (502) 933-7986.

Holly Raeann Koopman is licensed to practice in Kentucky (license number 2017DT) 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 1851741425.

Contact Information

Holly Raeann Koopman, OD
6812 Dixie Hwy,
Louisville, KY 40258-3914
(502) 933-7986
(502) 933-2652

Map and Direction




Healthcare Provider's Profile

Full NameHolly Raeann Koopman
GenderFemale
SpecialityOptometry
Experience9 Years
Location6812 Dixie Hwy, Louisville, Kentucky
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Holly Raeann Koopman graduated from medical school in 2015
  NPI Data:
  • NPI Number: 1851741425
  • Provider Enumeration Date: 06/15/2016
  • Last Update Date: 06/11/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 7012287733
  • Enrollment ID: I20170727003151

Medical Identifiers

Medical identifiers for Holly Raeann Koopman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1851741425NPI-NPPES
18004061AOtherININDIANA LICENSE NUMBER
221390002OtherININDIANA MEDICARE
7100492340MedicaidKY
K249890OtherKYKENTUCKY MEDICARE
2017DTOtherKYKENTUCKY LIENSE
2017DTOtherKYKENTUCKY LICENSE NUMBER
PENDINGMedicaidIN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist 18004061A (Indiana)Secondary
152W00000XOptometrist 2017DT (Kentucky)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Louisville Optometric Centers Iii, Psc872904192632
Louisville Optometric Centers Iii, Psc872904192632

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. Holly Raeann Koopman allows following entities to bill medicare on her behalf.
Provider NameLouisville Optometric Centers Iii, Psc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1134111271
PECOS PAC ID: 8729041926
Enrollment ID: O20041109000487

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. Holly Raeann Koopman 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 AddressPractice Location Address
Holly Raeann Koopman, OD
4000 Poplar Level Rd,
Louisville, KY 40213-1524

Ph: (502) 813-8928
Holly Raeann Koopman, OD
6812 Dixie Hwy,
Louisville, KY 40258-3914

Ph: (502) 933-7986

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.