Marisa Jo Kooima, ARNP - Medicare Nurse Practitioner in Ft Lauderdale, FL

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Marisa Jo Kooima, ARNP is a medicare enrolled "Nurse Practitioner" in Ft Lauderdale, Florida. Her current practice location is 200 S Birch Rd Apt 1209, Ft Lauderdale, Florida. You can reach out to her office (for appointments etc.) via phone at (954) 629-2240.

Marisa Jo Kooima is licensed to practice in Florida (license number APRN9246107) 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 1316240674.

Contact Information

Marisa Jo Kooima, ARNP
200 S Birch Rd Apt 1209,
Ft Lauderdale, FL 33316-1537
(954) 629-2240
Not Available

Map and Direction




Provider's Profile

Full NameMarisa Jo Kooima
GenderFemale
SpecialityNurse Practitioner
Location200 S Birch Rd Apt 1209, Ft Lauderdale, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1316240674
  • Provider Enumeration Date: 12/08/2010
  • Last Update Date: 09/17/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 4183806425
  • Enrollment ID: I20110308000955

Medical Identifiers

Medical identifiers for Marisa Jo Kooima such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1316240674NPI-NPPES
592202OtherFLWELLCARE
P988384OtherFLFREEDOM HEALTH
Y06HOOtherFLBCBS OF FL
P932403OtherFLOPTIMUM
003103900MedicaidFL
Y06H0OtherFLBLUE CROSS BLUE SHIELD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2200XNurse Practitioner - Adult Health ARNP 9246107 (Florida)Secondary
363L00000XNurse Practitioner APRN9246107 (Florida)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. Marisa Jo Kooima allows following entities to bill medicare on her behalf.
Entity NameLawnwood Cardiovascular Surgery Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1386724169
PECOS PAC ID: 7214937598
Enrollment ID: O20070110000554
Entity NameDuval Emergency Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053645465
PECOS PAC ID: 5991846370
Enrollment ID: O20100107000235
Entity NameFlorida Observation Services, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689267007
PECOS PAC ID: 9335548478
Enrollment ID: O20210524000536

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. Marisa Jo Kooima 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
Marisa Jo Kooima, ARNP
200 S Birch Rd Apt 1209,
Ft Lauderdale, FL 33316-1537

Ph: (954) 629-2240		Marisa Jo Kooima, ARNP
200 S Birch Rd Apt 1209,
Ft Lauderdale, FL 33316-1537

Ph: (954) 629-2240

Reviews and Comments


Nurse Practitioner Nurses in Ft Lauderdale, FL

Amelia B Waller, ARNP
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Practice Location: 1625 Se 3rd Ave # 601, Ft Lauderdale, FL 33316
Phone: 954-712-1115    Fax: 954-462-5413
Ms. Jaycee Brown, ARNP
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Phone: 615-657-4805    Fax: 954-337-2733
Sylvia Cruz, APRN, FNP-BC
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Practice Location: 1625 Se 3rd Ave Ste 400, Ft Lauderdale, FL 33316
Phone: 954-832-0055    
Michelle Amengual,
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Practice Location: 2406 N Federal Hwy, Ft Lauderdale, FL 33305
Phone: 954-860-8687    
Ashlee Wetterer,
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Medicare: Medicare Enrolled
Practice Location: 4725 N Federal Hwy, Ft Lauderdale, FL 33308
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Mrs. Cynthia Ryan, MSN, ARNP, FNP-C
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Medicare: Medicare Enrolled
Practice Location: 1625 Se 3 Avenue, Suite 300, Ft Lauderdale, FL 33316
Phone: 954-355-4665    Fax: 954-355-4881
Nicole Hutson King, APRN, FNP-C
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Medicare: Not Enrolled in Medicare
Practice Location: 811 Sw 18th St, Ft Lauderdale, FL 33315
Phone: 270-978-1585    

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.