Mia Jasmine Copeland-brock, APRN in Medway, MA

Mia Jasmine Copeland-brock, APRN is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Medway, Massachusetts. Her current practice location is 165 Main St, Medway, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (508) 321-3210.

Mia Jasmine Copeland-brock is licensed to practice in Massachusetts (license number RN2313693) 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 1174246128.

Contact Information

	Mia Jasmine Copeland-brock, APRN
	165 Main St, Medway, MA 02053-1584
	(508) 321-3210
	(508) 321-3210

Map and Direction

Provider's Profile

Full Name	Mia Jasmine Copeland-brock
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	165 Main St, Medway, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1174246128
Provider Enumeration Date: 09/23/2022
Last Update Date: 06/17/2025

Medicare PECOS Information:

PECOS PAC ID: 8527433853
Enrollment ID: I20230418002472

Medical Identifiers

Medical identifiers for Mia Jasmine Copeland-brock such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174246128	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	RN2313693 (Massachusetts)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	RN2313693 (Massachusetts)	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. Mia Jasmine Copeland-brock allows following entities to bill medicare on her behalf.

Entity Name	Behavioral Health Network Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477582609 PECOS PAC ID: 3072596360 Enrollment ID: O20040608001373

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. Mia Jasmine Copeland-brock 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
Mia Jasmine Copeland-brock, APRN 417 Liberty St, Springfield, MA 01104-3736 Ph: (413) 246-9675	Mia Jasmine Copeland-brock, APRN 165 Main St, Medway, MA 02053-1584 Ph: (508) 321-3210

Reviews and Comments

Nurse Practitioner Nurses in Medway, MA

Ms. Ann Waithera Wanderi, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 67 Main St, Medway, MA 02053 Phone: 186-638-9272
Mrs. Meghan Kathleen Bonanno, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 67 Main St, Medway, MA 02053 Phone: 508-533-6771
Shannon Beck, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7 Autumn Rd, Medway, MA 02053 Phone: 508-397-3486
Mr. Jeffrey Ayotte, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 67d Main St, Medway, MA 02053 Phone: 508-533-6771
Adesuwa Lee, RN, BSN, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 67 Main St, Medway, MA 02053 Phone: 781-635-2005 Fax: 781-885-0084
Angela Terry, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 67d Main St, Medway, MA 02053 Phone: 508-410-4522
Stephanie Changeau, MSN,FNP BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 67 Main St, Medway, MA 02053 Phone: 508-533-6771 Fax: 508-533-9475

Mia Jasmine Copeland-brock, APRN - Medicare Nurse Practitioner in Medway, MA