Karie Lynn Prokop, PA-C is a medicare enrolled "Physician Assistant" in Wilmington, Illinois. Her current practice location is
105 S First St, Wilmington, Illinois. You can reach out to her office (for appointments etc.) via phone at
(815) 476-5210.
Karie Lynn Prokop is licensed to practice in Illinois (license number 085.003995) 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 1447558127.
Provider's Profile
| Full Name | Karie Lynn Prokop |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Location | 105 S First St, Wilmington, Illinois |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1447558127
- Provider Enumeration Date: 03/04/2011
- Last Update Date: 03/29/2021
Medicare PECOS Information:
- PECOS PAC ID: 9436336989
- Enrollment ID: I20110609000156
Medical Identifiers
Medical identifiers for Karie Lynn Prokop such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1447558127 | NPI | - | NPPES |
| 085.003995 | Other | IL | STATE LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363A00000X | Physician Assistant | 085.003995 (Illinois) | 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. Karie Lynn Prokop 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 |
Karie Lynn Prokop, PA-C 105 S First St, Wilmington, IL 60481-8973 Ph: (815) 476-5210 | Karie Lynn Prokop, PA-C 105 S First St, Wilmington, IL 60481-8973 Ph: (815) 476-5210 |
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