Nicholas Robert Koontz, MS in Glendora, CA - Medicare Counselor Provider

Nicholas Robert Koontz, MS is a medicare enrolled "Counselor - Mental Health" provider in Glendora, California. His current practice location is 2200 E Route 66, Glendora, California. You can reach out to his office (for appointments etc.) via phone at (626) 859-2089.

Nicholas Robert Koontz is licensed to practice in California (license number IMF68820) 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 1821301292.

Contact Information

	Nicholas Robert Koontz, MS
	2200 E Route 66, Glendora, CA 91740-4659
	(626) 859-2089
	(626) 859-6537

Map and Direction

Healthcare Provider's Profile

Full Name	Nicholas Robert Koontz
Gender	Male
Speciality	Counselor - Mental Health
Location	2200 E Route 66, Glendora, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1821301292
Provider Enumeration Date: 07/14/2010
Last Update Date: 10/19/2015

Medicare PECOS Information:

PECOS PAC ID: 9335587286
Enrollment ID: I20240410003922

Medical Identifiers

Medical identifiers for Nicholas Robert Koontz such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1821301292	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	IMF68820 (California)	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. Nicholas Robert Koontz allows following entities to bill medicare on his behalf.

Entity Name	Meridian Counseling
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396202206 PECOS PAC ID: 6305284803 Enrollment ID: O20240403001475

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. Nicholas Robert Koontz 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
Nicholas Robert Koontz, MS 2200 E Route 66, Glendora, CA 91740-4659 Ph: (626) 859-2089	Nicholas Robert Koontz, MS 2200 E Route 66, Glendora, CA 91740-4659 Ph: (626) 859-2089

Reviews and Comments

Counselor in Glendora, CA

Janine Esparza, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1505 Sunflower Ave, Glendora, CA 91740 Phone: 626-335-8153 Fax: 626-963-0028
Mrs. Linda M Miles, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1160 S Grand Ave, Glendora, CA 91740 Phone: 626-335-5980
Mrs. Elsa Yolanda Willard, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1160 S Grand Ave, Glendora, CA 91740 Phone: 626-335-5980
Mrs. Jacqueline Cara Plante, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1160 S Grand Ave, Glendora, CA 91740 Phone: 626-335-5980
Kelly Miltenberger, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 537 N Pennsylvania Ave, Glendora, CA 91741 Phone: 626-833-7752
Carolina Perez, LCSW Counselor Medicare: Medicare Enrolled Practice Location: 1160 S Grand Ave, Glendora, CA 91740 Phone: 626-335-5980
Edgar Rico, Counselor Medicare: Medicare Enrolled Practice Location: 1160 S Grand Ave, Glendora, CA 91740 Phone: 626-335-5980 Fax: 626-335-5989

Nicholas Robert Koontz, MS - Medicare Counselor in Glendora, CA