Ms Deanna L Stopperich, NP is a medicare enrolled "Nurse Practitioner - Family" in Jamestown, Indiana. She graduated from nursing school in 2007 and has 17 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Witham Memorial Hospital and her current practice location is
1000 N Lebanon St, Jamestown, Indiana. You can reach out to her office (for appointments etc.) via phone at
(765) 676-5754.
Ms Deanna L Stopperich is licensed to practice in Indiana (license number 71002615A) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1902076284.
Provider's Profile
| Full Name | Ms Deanna L Stopperich |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 17 Years |
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| Location | 1000 N Lebanon St, Jamestown, Indiana |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Ms Deanna L Stopperich graduated from nursing school in 2007
NPI Data:
- NPI Number: 1902076284
- Provider Enumeration Date: 03/03/2008
- Last Update Date: 10/11/2023
Medicare PECOS Information:
- PECOS PAC ID: 7416029459
- Enrollment ID: I20080708000379
Medical Identifiers
Medical identifiers for Ms Deanna L Stopperich such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1902076284 | NPI | - | NPPES |
| 200908760 | Medicaid | IN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163W00000X | Registered Nurse | 28149608A (Indiana) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 71002615A (Indiana) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Witham Memorial Hospital | 4082523170 | 88 |
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. Ms Deanna L Stopperich allows following entities to bill medicare on her behalf.
| Entity Name | Witham Memorial Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1083750293
PECOS PAC ID: 4082523170
Enrollment ID: O20040519001402 |
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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. Ms Deanna L Stopperich 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 |
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Ms Deanna L Stopperich, NP
2605 N Lebanon St,
Lebanon, IN 46052-1476
Ph: () - | Ms Deanna L Stopperich, NP
1000 N Lebanon St,
Jamestown, IN 46147-9372
Ph: (765) 676-5754 |
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