Edan Leigh Koopman, OT in Antioch, IL - Medicare Occupational Therapist Provider

Edan Leigh Koopman, OT is a medicare enrolled "Occupational Therapist" provider in Antioch, Illinois. Her current practice location is 1122 Main St, Antioch, Illinois. You can reach out to her office (for appointments etc.) via phone at (847) 395-0321.

Edan Leigh Koopman is licensed to practice in Illinois (license number 056008919) 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 1093943953.

Contact Information

	Edan Leigh Koopman, OT
	1122 Main St, Antioch, IL 60002-1808
	(847) 395-0321
	(847) 395-0298

Map and Direction

Healthcare Provider's Profile

Full Name	Edan Leigh Koopman
Gender	Female
Speciality	Occupational Therapist
Location	1122 Main St, Antioch, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1093943953
Provider Enumeration Date: 06/30/2009
Last Update Date: 07/27/2023

Medicare PECOS Information:

PECOS PAC ID: 9032244942
Enrollment ID: I20100317000704

Medical Identifiers

Medical identifiers for Edan Leigh Koopman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093943953	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	056008919 (Illinois)	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. Edan Leigh Koopman allows following entities to bill medicare on her behalf.

Provider Name	Athletico Ltd
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1821085028 PECOS PAC ID: 4789602681 Enrollment ID: O20120612000342

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. Edan Leigh Koopman 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
Edan Leigh Koopman, OT 2122 York Rd Ste 300, Oak Brook, IL 60523-1925 Ph: (630) 575-1980	Edan Leigh Koopman, OT 1122 Main St, Antioch, IL 60002-1808 Ph: (847) 395-0321

Reviews and Comments

Occupational Therapist in Antioch, IL

Tiffany Stella, MOT, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 311 W Depot St Ste N, Antioch, IL 60002 Phone: 847-838-8085
Danielle Brose, MS, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 311 W Depot St Ste N, Antioch, IL 60002 Phone: 847-838-8085 Fax: 224-788-8121
Kelley Semens, MOT, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 311 W Depot St, Suite N, Antioch, IL 60002 Phone: 847-838-8085
Megan Szczepanski, MOT, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 311 W Depot St Ste N, Antioch, IL 60002 Phone: 847-838-8085 Fax: 224-788-8121
Valeri Galloway, MOT,OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 311 W Depot St, Suite F, Antioch, IL 60002 Phone: 847-838-8085
Dpt Holdings Llc Occupational Therapist Medicare: Medicare Enrolled Practice Location: 417 E Il Route 173 Unit 101, Antioch, IL 60002 Phone: 800-974-4378 Fax: 630-515-1536

Edan Leigh Koopman, OT - Medicare Occupational Therapist in Antioch, IL