Dr Michael Kozlowski, PHD is a medicare enrolled "Psychologist" provider in Oregon City, Oregon. His current practice location is
619 Madison St Ste 108, Oregon City, Oregon. You can reach out to his office (for appointments etc.) via phone at
(503) 303-4257.
Dr Michael Kozlowski is licensed to practice in Oregon (license number 3405) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1770864688.
Healthcare Provider's Profile
Full Name | Dr Michael Kozlowski |
---|
Gender | Male |
---|
Speciality | Psychologist |
---|
Location | 619 Madison St Ste 108, Oregon City, Oregon |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1770864688
- Provider Enumeration Date: 09/06/2011
- Last Update Date: 09/03/2022
Medicare PECOS Information:
- PECOS PAC ID: 3375084262
- Enrollment ID: I20240918004159
Medical Identifiers
Medical identifiers for Dr Michael Kozlowski such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1770864688 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YP2500X | Counselor - Professional | 3588 (Oregon) | Secondary |
103T00000X | Psychologist | 3405 (Oregon) | 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. Dr Michael Kozlowski allows following entities to bill medicare on his behalf.
Entity Name | Providence Health & Services Oregon |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1023488343 PECOS PAC ID: 0648183608 Enrollment ID: O20031106000652 |
---|
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. Dr Michael Kozlowski 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 |
Dr Michael Kozlowski, PHD 619 Madison St Ste 108, Oregon City, OR 97045-2354 Ph: (503) 303-4257 | Dr Michael Kozlowski, PHD 619 Madison St Ste 108, Oregon City, OR 97045-2354 Ph: (503) 303-4257 |
Reviews and Comments