| Marjory D Koppelman, | |
| 
					69 Pinney Rd, Moville, IA 51039-7500  | |
| (515) 402-6621 | |
| Not Available | 
| Full Name | Marjory D Koppelman | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Family | 
| Location | 69 Pinney Rd, Moville, Iowa | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1619690682 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | A171240 (Iowa) | Primary | 
| Entity Name | Delaware County Memorial Hospital | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1982667929 PECOS PAC ID: 2062316375 Enrollment ID: O20031119000881  | 
| Entity Name | Iowa Emergency Physicians Llp | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1386879427 PECOS PAC ID: 5991856064 Enrollment ID: O20090701000057  | 
| Entity Name | Woodbury Emergency Group, Pc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1447813316 PECOS PAC ID: 2961737317 Enrollment ID: O20190708002736  | 
| Entity Name | Sioux City Hospitalist Group, Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1427789148 PECOS PAC ID: 3173906088 Enrollment ID: O20220810000609  | 
| Entity Name | Waterloo Emergency Physicians, Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1649013038 PECOS PAC ID: 5092246967 Enrollment ID: O20241002002176  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Marjory D Koppelman, 69 Pinney Rd, Moville, IA 51039-7500 Ph: () -  | Marjory D Koppelman, 69 Pinney Rd, Moville, IA 51039-7500 Ph: (515) 402-6621  | 
Ashley Lynn Pollema, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 631 E Frontage Rd, Moville, IA 51039 Phone: 712-873-5225  |