Willow Kopra Tucker, in Poulsbo, WA - Medicare Counselor Provider

Willow Kopra Tucker, is a medicare enrolled "Counselor - Mental Health" provider in Poulsbo, Washington. Her current practice location is 2781 Nw Birkenfeld Way, Poulsbo, Washington. You can reach out to her office (for appointments etc.) via phone at (425) 647-9640.

Willow Kopra Tucker is licensed to practice in Washington (license number 60891614) 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 1053890814.

Contact Information

	Willow Kopra Tucker,
	2781 Nw Birkenfeld Way, Poulsbo, WA 98370-8093
	(425) 647-9640
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Willow Kopra Tucker
Gender	Female
Speciality	Counselor - Mental Health
Location	2781 Nw Birkenfeld Way, Poulsbo, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1053890814
Provider Enumeration Date: 08/12/2018
Last Update Date: 11/05/2024

Medicare PECOS Information:

PECOS PAC ID: 7719418060
Enrollment ID: I20240927001164

Medical Identifiers

Medical identifiers for Willow Kopra Tucker such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053890814	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	(* (Not Available))	Secondary
101YM0800X	Counselor - Mental Health	60891614 (Washington)	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. Willow Kopra Tucker allows following entities to bill medicare on her behalf.

Entity Name	Mindful Therapy Group Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316238678 PECOS PAC ID: 4981872561 Enrollment ID: O20110726000730

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. Willow Kopra Tucker 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
Willow Kopra Tucker, 2781 Nw Birkenfeld Way, Poulsbo, WA 98370-8093 Ph: (425) 647-9640	Willow Kopra Tucker, 2781 Nw Birkenfeld Way, Poulsbo, WA 98370-8093 Ph: (425) 647-9640

Reviews and Comments

Counselor in Poulsbo, WA

Ms. Cynthia Marie Brady, CDPT Counselor Medicare: Not Enrolled in Medicare Practice Location: 19351 8th Ave Ne Ste 141, Poulsbo, WA 98370 Phone: 360-598-3929 Fax: 360-598-4114
Christy Fuller, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 18901 8th Ave Ne, Poulsbo, WA 98370 Phone: 360-394-4158
Danielle Suzanne Rueb, LMHCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 225 Nw Lindvig Way, Poulsbo, WA 98370 Phone: 360-649-0222
Kim A Bourgette, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 19550 Scoter Ln Ne, Poulsbo, WA 98370 Phone: 208-720-6593
Alexandra Dafcik, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 225 Nw Lindvig Way Ste 7a, Poulsbo, WA 98370 Phone: 206-451-7383
Mr. Michael Dorsey, LMHC CDP Counselor Medicare: Not Enrolled in Medicare Practice Location: 18777 9th Ave Ne, Poulsbo, WA 98370 Phone: 360-697-1079

Willow Kopra Tucker, - Medicare Counselor in Poulsbo, WA