Anna Marie Koopman, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Smithfield, Utah. Her current practice location is
478 N 60 W, Smithfield, Utah. You can reach out to her office (for appointments etc.) via phone at
(208) 569-0166.
Anna Marie Koopman is licensed to practice in Utah (license number 11529729-3501) 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 1356983258.
Healthcare Provider's Profile
| Full Name | Anna Marie Koopman |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 478 N 60 W, Smithfield, Utah |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1356983258
- Provider Enumeration Date: 10/11/2019
- Last Update Date: 09/13/2024
Medicare PECOS Information:
- PECOS PAC ID: 6901330190
- Enrollment ID: I20241111002236
Medical Identifiers
Medical identifiers for Anna Marie Koopman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1356983258 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | 11529729-3501 (Utah) | 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. Anna Marie Koopman allows following entities to bill medicare on her behalf.
| Entity Name | Ora Counseling |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1043810047 PECOS PAC ID: 8426491705 Enrollment ID: O20240205001006 |
|---|
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. Anna Marie 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 Address | Practice Location Address |
Anna Marie Koopman, LCSW 879 S 250 E Apt 93, Smithfield, UT 84335-4732 Ph: (208) 569-0166 | Anna Marie Koopman, LCSW 478 N 60 W, Smithfield, UT 84335-1233 Ph: (208) 569-0166 |
Reviews and Comments