Ms Nicole Marie Koepke, CRNP in Philadelphia, PA

Ms Nicole Marie Koepke, CRNP is a medicare enrolled "Nurse Practitioner - Pediatrics" in Philadelphia, Pennsylvania. Her current practice location is 3401 Civic Center Blvd, Children's Hospital Of Philadelphia - Emergency Med, Philadelphia, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (215) 590-1944.

Ms Nicole Marie Koepke is licensed to practice in Pennsylvania (license number SP007292) 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 1003006735.

Contact Information

	Ms Nicole Marie Koepke, CRNP
	3401 Civic Center Blvd, Children's Hospital Of Philadelphia - Emergency Med, Philadelphia, PA 19104-4319
	(215) 590-1944
	(215) 590-4454

Map and Direction

Provider's Profile

Full Name	Ms Nicole Marie Koepke
Gender	Female
Speciality	Nurse Practitioner - Pediatrics
Location	3401 Civic Center Blvd, Philadelphia, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1003006735
Provider Enumeration Date: 07/30/2007
Last Update Date: 05/30/2013

Medicare PECOS Information:

PECOS PAC ID: 0143461822
Enrollment ID: I20130723000104

Medical Identifiers

Medical identifiers for Ms Nicole Marie Koepke such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003006735	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0200X	Nurse Practitioner - Pediatrics	SP007292 (Pennsylvania)	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. Ms Nicole Marie Koepke allows following entities to bill medicare on her behalf.

Entity Name	Childrens Health Care Associates Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1598869059 PECOS PAC ID: 1355253527 Enrollment ID: O20040216001108

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 Nicole Marie Koepke 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
Ms Nicole Marie Koepke, CRNP 100 E Penn Sq, 9th Floor, Philadelphia, PA 19107-3323 Ph: (267) 425-9234	Ms Nicole Marie Koepke, CRNP 3401 Civic Center Blvd, Children's Hospital Of Philadelphia - Emergency Med, Philadelphia, PA 19104-4319 Ph: (215) 590-1944

Reviews and Comments

Nurse Practitioner Nurses in Philadelphia, PA

Kathleen Ellen Kearney, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3535 Market St, Suite 100, Philadelphia, PA 19104 Phone: 215-746-3535 Fax: 215-746-1032
Liza Thomas, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3400 Civic Center Boulevard, West Pavilion 3rd Floor, Philadelphia, PA 19104 Phone: 215-662-2891
Mr. Charles E Warrington Jr., CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1100 Walnut St Fl 7, Medical Office Building, Philadelphia, PA 19107 Phone: 215-955-2165 Fax: 215-923-7957
Carley Bober, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 34th Street And Civic Center Blvd, Cardiac Center At Chop, Philadelphia, PA 19104 Phone: 215-590-6051 Fax: 215-590-1340
Ms. Candyce S Dorsey, CRNP, RN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1408 S Broad St, Philadelphia, PA 19146 Phone: 215-755-0700
Ling Fan, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 111 S 11th St, Gibbon Bldg., Suite 6270, Philadelphia, PA 19107 Phone: 215-955-8304

Ms Nicole Marie Koepke, CRNP - Medicare Nurse Practitioner in Philadelphia, PA