Mrs Korena Lynn Popp, FNP is a medicare enrolled "Nurse Practitioner - Family" in Kamiah, Idaho. Her current practice location is
313 3rd Street, Kamiah, Idaho. You can reach out to her office (for appointments etc.) via phone at
(208) 935-0733.
Mrs Korena Lynn Popp is licensed to practice in Idaho (license number NP-1528A) 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 1326102450.
Provider's Profile
| Full Name | Mrs Korena Lynn Popp |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 313 3rd Street, Kamiah, Idaho |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1326102450
- Provider Enumeration Date: 12/21/2006
- Last Update Date: 07/28/2020
Medicare PECOS Information:
- PECOS PAC ID: 9638494362
- Enrollment ID: I20150220001167
Medical Identifiers
Medical identifiers for Mrs Korena Lynn Popp such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1326102450 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LF0000X | Nurse Practitioner - Family | 27371 (Idaho) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | NP-1528A (Idaho) | 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 Korena Lynn Popp allows following entities to bill medicare on her behalf.
| Entity Name | Nez Perce Tribal Health Authority |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1790795888
PECOS PAC ID: 0941288302
Enrollment ID: O20040712000823 |
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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 Korena Lynn Popp 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 Korena Lynn Popp, FNP
Po Drawer 367,
Lapwai, ID 83540-0367
Ph: (208) 843-2271 | Mrs Korena Lynn Popp, FNP
313 3rd Street,
Kamiah, ID 83536-1108
Ph: (208) 935-0733 |
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