Mary Coppola, in Flowood, MS - Medicare Nurse Practitioner

Mary Coppola, is a medicare enrolled "Nurse Practitioner - Family" in Flowood, Mississippi. Her current practice location is 215 Katherine Drive, Suite A, Flowood, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 665-4162.

Mary Coppola is licensed to practice in Mississippi (license number 905500) 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 1386361871.

Contact Information

	Mary Coppola,
	215 Katherine Drive, Suite A, Flowood, MS 39232-9588
	(601) 665-4162
	(855) 830-3484

Map and Direction

Provider's Profile

Full Name	Mary Coppola
Gender	Female
Speciality	Nurse Practitioner - Family
Location	215 Katherine Drive, Flowood, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1386361871
Provider Enumeration Date: 10/25/2022
Last Update Date: 10/06/2023

Medicare PECOS Information:

PECOS PAC ID: 7618348749
Enrollment ID: I20230126003401

Medical Identifiers

Medical identifiers for Mary Coppola such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1386361871	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	905500 (Mississippi)	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. Mary Coppola allows following entities to bill medicare on her behalf.

Entity Name	Mdb Care Management Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1144925272 PECOS PAC ID: 0547619512 Enrollment ID: O20231215002106

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. Mary Coppola 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
Mary Coppola, 200 Lakeview Dr, Clinton, MS 39056-4436 Ph: (315) 200-0197	Mary Coppola, 215 Katherine Drive, Suite A, Flowood, MS 39232-9588 Ph: (601) 665-4162

Reviews and Comments

Nurse Practitioner Nurses in Flowood, MS

Jordan Claire Smith, MSN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2550 Flowood Dr Ste 300, Flowood, MS 39232 Phone: 601-420-0034
Lelouise Tindall Davis, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Layfair Dr, Ste 120, Flowood, MS 39232 Phone: 601-932-0238 Fax: 601-200-4698
Dr. Tatum Lee Severino I, DNP, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 215 Katherine Dr Ste A, Flowood, MS 39232 Phone: 601-665-4162 Fax: 888-398-1151
Jessica N Brown, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 120 Stone Creek Blvd, Flowood, MS 39232 Phone: 769-243-6141
Jane Denton Desper, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 104 Burney Dr, Flowood, MS 39232 Phone: 601-987-8200 Fax: 601-987-8211
Brittany Michelle Fitzgerald, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 104 Burney Dr, Flowood, MS 39232 Phone: 601-987-2000
Courtney Dannielle Murtagh, WHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2925 Layfair Dr, Flowood, MS 39232 Phone: 601-984-6740

Mary Coppola, - Medicare Nurse Practitioner in Flowood, MS