Patty J Koker, LCSW is a medicare enrolled "Counselor - Mental Health" provider in Corvallis, Oregon. Her current practice location is
530 Nw 27th St, Corvallis, Oregon. You can reach out to her office (for appointments etc.) via phone at
(541) 766-6835.
Patty J Koker is licensed to practice in * (Not Available) (license number ) 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 1053887109.
Healthcare Provider's Profile
Full Name | Patty J Koker |
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Gender | Female |
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Speciality | Counselor - Mental Health |
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Location | 530 Nw 27th St, Corvallis, Oregon |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1053887109
- Provider Enumeration Date: 10/16/2018
- Last Update Date: 03/01/2022
Medicare PECOS Information:
- PECOS PAC ID: 4183018971
- Enrollment ID: I20220221000791
Medical Identifiers
Medical identifiers for Patty J Koker such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1053887109 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | A5632 (Oregon) | Secondary |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | 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. Patty J Koker allows following entities to bill medicare on her behalf.
Entity Name | Kaiser Foundation Health Plan Of The Northwest |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1184786527 PECOS PAC ID: 5799688230 Enrollment ID: O20040130000799 |
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Entity Name | Jd Health And Wellness Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1689918161 PECOS PAC ID: 3274767173 Enrollment ID: O20131008001846 |
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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. Patty J Koker 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 |
Patty J Koker, LCSW 2042 Sw Kendra St, Corvallis, OR 97333-2266 Ph: (541) 974-5835 | Patty J Koker, LCSW 530 Nw 27th St, Corvallis, OR 97330-5223 Ph: (541) 766-6835 |
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