Mrs Cheyenna Lynne Kopacz, DNP FNP-C in Phoenix, AZ

Mrs Cheyenna Lynne Kopacz, DNP FNP-C is a medicare enrolled "Nurse Practitioner" in Phoenix, Arizona. Her current practice location is #1098 2501 W Happy Valley Rd, Suite 4, Phoenix, Arizona. You can reach out to her office (for appointments etc.) via phone at (602) 489-4958.

Mrs Cheyenna Lynne Kopacz is licensed to practice in Arizona (license number 227570) 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 1386204097.

Contact Information

	Mrs Cheyenna Lynne Kopacz, DNP FNP-C
	#1098 2501 W Happy Valley Rd, Suite 4, Phoenix, AZ 85085
	(602) 489-4958
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Cheyenna Lynne Kopacz
Gender	Female
Speciality	Nurse Practitioner
Location	#1098 2501 W Happy Valley Rd, Phoenix, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1386204097
Provider Enumeration Date: 06/14/2019
Last Update Date: 09/21/2023

Medicare PECOS Information:

PECOS PAC ID: 2466788161
Enrollment ID: I20190801001013

Medical Identifiers

Medical identifiers for Mrs Cheyenna Lynne Kopacz such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1386204097	NPI	-	NPPES
Z229839	Other	AZ	MEDICARE
533013	Medicaid	AZ

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	227570 (Arizona)	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. Mrs Cheyenna Lynne Kopacz allows following entities to bill medicare on her behalf.

Entity Name	Rhad Health Care Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780339721 PECOS PAC ID: 4789070350 Enrollment ID: O20220407000680

Entity Name	Devoted Medical Group Professional Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245838168 PECOS PAC ID: 3072902816 Enrollment ID: O20220726002167

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. Mrs Cheyenna Lynne Kopacz 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
Mrs Cheyenna Lynne Kopacz, DNP FNP-C #1098 2501 W Happy Valley Rd, Suite 4, Phoenix, AZ 85085 Ph: (602) 489-4958	Mrs Cheyenna Lynne Kopacz, DNP FNP-C #1098 2501 W Happy Valley Rd, Suite 4, Phoenix, AZ 85085 Ph: (602) 489-4958

Reviews and Comments

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Mrs Cheyenna Lynne Kopacz, DNP FNP-C - Medicare Nurse Practitioner in Phoenix, AZ